Provider Demographics
NPI:1639341001
Name:REEDER CHIROPRACTIC HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:REEDER CHIROPRACTIC HEALTHCARE, P.C.
Other - Org Name:REEDER CHIROPRACTIC HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-784-7164
Mailing Address - Street 1:625 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-5938
Mailing Address - Country:US
Mailing Address - Phone:207-784-7164
Mailing Address - Fax:207-777-4625
Practice Address - Street 1:625 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-5938
Practice Address - Country:US
Practice Address - Phone:207-784-7164
Practice Address - Fax:207-777-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty