Provider Demographics
NPI:1851574123
Name:WINIGER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:WINIGER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TY
Authorized Official - Middle Name:W
Authorized Official - Last Name:WINIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-424-8514
Mailing Address - Street 1:721 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5423
Mailing Address - Country:US
Mailing Address - Phone:812-424-8514
Mailing Address - Fax:
Practice Address - Street 1:721 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5423
Practice Address - Country:US
Practice Address - Phone:812-424-8514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002012A261Q00000X
IN08000373A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200410Medicare PIN