Provider Demographics
NPI:1023026572
Name:ERIC WINDER D.C.
Entity Type:Organization
Organization Name:ERIC WINDER D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOLE SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:WINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-738-9499
Mailing Address - Street 1:130 NEW CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-1033
Mailing Address - Country:US
Mailing Address - Phone:724-738-9499
Mailing Address - Fax:724-738-0488
Practice Address - Street 1:130 NEW CASTLE ST
Practice Address - Street 2:
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-1033
Practice Address - Country:US
Practice Address - Phone:724-738-9499
Practice Address - Fax:724-738-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006961-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA208503OtherUPMC
PA001422249OtherHIGHMARK BLUE SHIELD
PA208503OtherUPMC
PA001422249OtherHIGHMARK BLUE SHIELD