Provider Demographics
NPI:1003077884
Name:NEEDLER CHIROPRACTIC INC
Entity Type:Organization
Organization Name:NEEDLER CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:419-659-2176
Mailing Address - Street 1:11010 STATE ROUTE 12
Mailing Address - Street 2:P. O. BOX 73
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830-9287
Mailing Address - Country:US
Mailing Address - Phone:419-659-2176
Mailing Address - Fax:419-659-2176
Practice Address - Street 1:11010 STATE ROUTE 12
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830-9287
Practice Address - Country:US
Practice Address - Phone:419-659-2176
Practice Address - Fax:419-659-2176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty