Provider Demographics
NPI:1255648002
Name:NIEDER CHIROPRACTIC & REHABILITATION,INC.
Entity type:Organization
Organization Name:NIEDER CHIROPRACTIC & REHABILITATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:NIEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:540-434-6400
Mailing Address - Street 1:620 NEFF AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3497
Mailing Address - Country:US
Mailing Address - Phone:540-434-6400
Mailing Address - Fax:540-434-2188
Practice Address - Street 1:620 NEFF AVE STE 100
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3497
Practice Address - Country:US
Practice Address - Phone:540-434-6400
Practice Address - Fax:540-434-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556171111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty