Provider Demographics
NPI:1396900049
Name:LENHART CHIROPRACTIC CLINIC, INC.
Entity type:Organization
Organization Name:LENHART CHIROPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LENHART
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:440-632-1112
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-1238
Mailing Address - Country:US
Mailing Address - Phone:440-632-1112
Mailing Address - Fax:440-632-0183
Practice Address - Street 1:16030 E HIGH ST
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9474
Practice Address - Country:US
Practice Address - Phone:440-632-1112
Practice Address - Fax:440-632-0183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0613965Medicaid
OHT48254Medicare UPIN
OH0613965Medicaid