Provider Demographics
NPI:1083744163
Name:TREICHLER SPORTS & FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:TREICHLER SPORTS & FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TREICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ATC
Authorized Official - Phone:717-514-0973
Mailing Address - Street 1:1174 SHOREHAM RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6135
Mailing Address - Country:US
Mailing Address - Phone:717-514-0973
Mailing Address - Fax:717-770-2059
Practice Address - Street 1:431 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-1929
Practice Address - Country:US
Practice Address - Phone:717-774-5376
Practice Address - Fax:717-770-2059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007172L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU69731Medicare UPIN