Provider Demographics
NPI:1932821253
Name:OAK WELLNESS LLC
Entity type:Organization
Organization Name:OAK WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-373-9408
Mailing Address - Street 1:12467 WINTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17322-8407
Mailing Address - Country:US
Mailing Address - Phone:717-578-3909
Mailing Address - Fax:
Practice Address - Street 1:12467 WINTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:FELTON
Practice Address - State:PA
Practice Address - Zip Code:17322-8407
Practice Address - Country:US
Practice Address - Phone:717-373-9408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health