Provider Demographics
NPI:1134308505
Name:HARVEY WLL LLC
Entity Type:Organization
Organization Name:HARVEY WLL LLC
Other - Org Name:FINDLAY FAMILY CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIASECKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:419-424-9922
Mailing Address - Street 1:2303 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3968
Mailing Address - Country:US
Mailing Address - Phone:419-424-9922
Mailing Address - Fax:419-424-3256
Practice Address - Street 1:2303 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3968
Practice Address - Country:US
Practice Address - Phone:419-424-9922
Practice Address - Fax:419-424-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2190418Medicaid
U8074Medicare UPIN