Provider Demographics
NPI:1235324997
Name:BECHTER CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BECHTER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:BECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-729-9400
Mailing Address - Street 1:14315 NATIONAL HWY SW
Mailing Address - Street 2:SUIT B
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502-6518
Mailing Address - Country:US
Mailing Address - Phone:301-729-9400
Mailing Address - Fax:240-362-7981
Practice Address - Street 1:14315 NATIONAL HWY SW
Practice Address - Street 2:SUIT B
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-6518
Practice Address - Country:US
Practice Address - Phone:301-729-9400
Practice Address - Fax:240-362-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty