Provider Demographics
NPI:1336226133
Name:LOHR, WILLIAM DWIGHT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DWIGHT
Last Name:LOHR
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 61 BOX 58B
Mailing Address - Street 2:
Mailing Address - City:FRAMETOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26623-9402
Mailing Address - Country:US
Mailing Address - Phone:304-364-5396
Mailing Address - Fax:
Practice Address - Street 1:615 ELK ST
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624-1135
Practice Address - Country:US
Practice Address - Phone:304-364-5225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVT32362Medicare UPIN
WV0536942Medicare ID - Type Unspecified