Provider Demographics
NPI:1851739387
Name:LECHENE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:LECHENE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENEDICT
Authorized Official - Middle Name:G
Authorized Official - Last Name:LECHENE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-944-4747
Mailing Address - Street 1:411 S LOGAN BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-5654
Mailing Address - Country:US
Mailing Address - Phone:814-944-4747
Mailing Address - Fax:814-943-1210
Practice Address - Street 1:411 S LOGAN BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-5654
Practice Address - Country:US
Practice Address - Phone:814-944-4747
Practice Address - Fax:814-943-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010280261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center