Provider Demographics
NPI:1851040521
Name:EHLICH CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:EHLICH CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:EHLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-461-2313
Mailing Address - Street 1:5895 CHESNEE HWY
Mailing Address - Street 2:
Mailing Address - City:CHESNEE
Mailing Address - State:SC
Mailing Address - Zip Code:29323-8721
Mailing Address - Country:US
Mailing Address - Phone:864-461-2313
Mailing Address - Fax:
Practice Address - Street 1:5895 CHESNEE HWY
Practice Address - Street 2:
Practice Address - City:CHESNEE
Practice Address - State:SC
Practice Address - Zip Code:29323-8721
Practice Address - Country:US
Practice Address - Phone:864-461-2313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty