Provider Demographics
NPI:1609083443
Name:AMRHEIN, EDWIN G III (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:G
Last Name:AMRHEIN
Suffix:III
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 1:162 CORNELIUS RD
Mailing Address - Street 2:
Mailing Address - City:PORTERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16051-1102
Mailing Address - Country:US
Mailing Address - Phone:724-421-6958
Mailing Address - Fax:
Practice Address - Street 1:105 N MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1144
Practice Address - Country:US
Practice Address - Phone:724-453-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor