Provider Demographics
NPI:1962478784
Name:CHIROTHERAPY, INC.
Entity Type:Organization
Organization Name:CHIROTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VAN VOORHIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-498-8551
Mailing Address - Street 1:223 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1042
Mailing Address - Country:US
Mailing Address - Phone:740-498-8551
Mailing Address - Fax:740-498-4754
Practice Address - Street 1:223 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1042
Practice Address - Country:US
Practice Address - Phone:740-498-8551
Practice Address - Fax:740-498-4754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC3108111NN0400X
OHPT09091174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9333431Medicare ID - Type Unspecified