Provider Demographics
NPI:1811010317
Name:EMERICH CHIROPRACTIC ASSOCIATES, LLC
Entity Type:Organization
Organization Name:EMERICH CHIROPRACTIC ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EMERICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-838-3008
Mailing Address - Street 1:514 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1724
Mailing Address - Country:US
Mailing Address - Phone:610-838-3008
Mailing Address - Fax:610-838-9293
Practice Address - Street 1:514 MAIN ST
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-1724
Practice Address - Country:US
Practice Address - Phone:610-838-3008
Practice Address - Fax:610-838-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty