Provider Demographics
NPI:1518937093
Name:BEIERSCHMITT, JOHN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JAMES
Last Name:BEIERSCHMITT
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 1:2217 CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4005
Mailing Address - Country:US
Mailing Address - Phone:717-764-4848
Mailing Address - Fax:717-767-1101
Practice Address - Street 1:2217 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4005
Practice Address - Country:US
Practice Address - Phone:717-764-4848
Practice Address - Fax:717-767-1101
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003457L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU08212Medicare UPIN
PA155821ZD1FMedicare PIN