Provider Demographics
NPI:1346485653
Name:BYRON LECLERC DC PA
Entity Type:Organization
Organization Name:BYRON LECLERC DC PA
Other - Org Name:LECLERC FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LECLERC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-682-4848
Mailing Address - Street 1:356 SANTA FE ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-4537
Mailing Address - Country:US
Mailing Address - Phone:913-682-4848
Mailing Address - Fax:913-682-1610
Practice Address - Street 1:356 SANTA FE ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4537
Practice Address - Country:US
Practice Address - Phone:913-682-4848
Practice Address - Fax:913-682-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty