Provider Demographics
NPI:1205016904
Name:CHIROPRACTIC HEALTH AND WELLNESS CENTER, INC
Entity type:Organization
Organization Name:CHIROPRACTIC HEALTH AND WELLNESS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLERCHINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-335-0914
Mailing Address - Street 1:1209 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON COURT HOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43160-1654
Mailing Address - Country:US
Mailing Address - Phone:740-335-0914
Mailing Address - Fax:740-335-4050
Practice Address - Street 1:1209 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON COURT HOUSE
Practice Address - State:OH
Practice Address - Zip Code:43160-1654
Practice Address - Country:US
Practice Address - Phone:740-335-0914
Practice Address - Fax:740-335-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1399111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCH9277551Medicare PIN