Jurgen Oltjenbruns, D.C.
Individual provider Active NPI Chiropractor · Carefree, AZ
NPI 1962583088 · NPPES record last updated Oct 26, 2007
Key facts
- NPI
- 1962583088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5283 (AZ)
- Practice address
- 7208 E Cave Creek Rd
Suite F
Carefree, AZ 85377 - Phone
- (480) 488-1282
- Fax
- (480) 488-9040
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5283 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carefree Pain Clinic LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5283 | AZ | Yes |
Addresses
Primary practice location
7208 E Cave Creek Rd
Suite F
Carefree, AZ 85377
Mailing address
P.O. Box 232
Cave Creek, AZ 85327-0232
Phone (480) 488-1282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0246850 | Other | AZ | BCBS OF AZ |
Other providers in Carefree, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.