Provider Demographics
NPI:1144196924
Name:OAKLEY, SCOTT E
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:E
Last Name:OAKLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79884 BRADY RD
Mailing Address - Street 2:
Mailing Address - City:WOLBACH
Mailing Address - State:NE
Mailing Address - Zip Code:68882-7002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:79884 BRADY RD
Practice Address - Street 2:
Practice Address - City:WOLBACH
Practice Address - State:NE
Practice Address - Zip Code:68882-7002
Practice Address - Country:US
Practice Address - Phone:308-750-7617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant