Provider Demographics
NPI:1942631163
Name:WINCHESTER CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:WINCHESTER CHIROPRACTIC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:WINCHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:641-420-9478
Mailing Address - Street 1:2227 19TH ST SW
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-6346
Mailing Address - Country:US
Mailing Address - Phone:641-201-1770
Mailing Address - Fax:641-201-1769
Practice Address - Street 1:2227 19TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-6346
Practice Address - Country:US
Practice Address - Phone:641-201-1770
Practice Address - Fax:641-201-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007639261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care