Provider Demographics
NPI:1164414009
Name:KOHLER, PAUL F (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:KOHLER
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 1:3103 WASHINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1416
Mailing Address - Country:US
Mailing Address - Phone:412-257-3228
Mailing Address - Fax:
Practice Address - Street 1:3103 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1416
Practice Address - Country:US
Practice Address - Phone:412-257-3228
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005202L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1468578Medicaid
PA01391632Medicaid
PA455288OtherBCBS
PA1468578Medicaid
PA455288OtherBCBS
PAU38570Medicare UPIN