Provider Demographics
NPI:1437455300
Name:WHOLE HEALTH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:WHOLE HEALTH CHIROPRACTIC PC
Other - Org Name:WHOLE HEALTH CHIROPRACTIC AND ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OBERMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-212-0442
Mailing Address - Street 1:213 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47240-2048
Mailing Address - Country:US
Mailing Address - Phone:812-222-2225
Mailing Address - Fax:812-222-2226
Practice Address - Street 1:213 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:IN
Practice Address - Zip Code:47240-2048
Practice Address - Country:US
Practice Address - Phone:812-222-2225
Practice Address - Fax:812-222-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001898A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty