Provider Demographics
NPI:1023197449
Name:WEINHOLD, RALPH L (DC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:L
Last Name:WEINHOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 FARMVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-2932
Mailing Address - Country:US
Mailing Address - Phone:717-653-4861
Mailing Address - Fax:717-653-6851
Practice Address - Street 1:535 FARMVIEW LN
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-2932
Practice Address - Country:US
Practice Address - Phone:717-653-4861
Practice Address - Fax:717-653-6851
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC5146L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU38568Medicare UPIN
PAWE425878Medicare PIN