Provider Demographics
NPI:1407211527
Name:OEHRLEIN, ADAM (DC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:OEHRLEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 5TH ST NE
Mailing Address - Street 2:STE 1
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-2732
Mailing Address - Country:US
Mailing Address - Phone:320-631-1103
Mailing Address - Fax:320-631-1105
Practice Address - Street 1:109 5TH ST NE
Practice Address - Street 2:STE 1
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-2732
Practice Address - Country:US
Practice Address - Phone:320-631-1103
Practice Address - Fax:320-631-1105
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6118111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor