Provider Demographics
NPI:1598906703
Name:TREICHLER SPINE & REHABILITATION, INC
Entity Type:Organization
Organization Name:TREICHLER SPINE & REHABILITATION, INC
Other - Org Name:TREICHLER CHIROPRACTIC & SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TREICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ATC
Authorized Official - Phone:717-514-0973
Mailing Address - Street 1:1174 SHOREHAM RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-6135
Mailing Address - Country:US
Mailing Address - Phone:717-514-0973
Mailing Address - Fax:
Practice Address - Street 1:1174 SHOREHAM RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-6135
Practice Address - Country:US
Practice Address - Phone:717-514-0973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-7172L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU69731Medicare UPIN