Provider Demographics
NPI:1740339175
Name:OECHSLI CHIROPRACTIC PA
Entity type:Organization
Organization Name:OECHSLI CHIROPRACTIC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:U
Authorized Official - Last Name:OECHSLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-742-2229
Mailing Address - Street 1:310 CIVIC AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5230
Mailing Address - Country:US
Mailing Address - Phone:410-742-2229
Mailing Address - Fax:410-742-2235
Practice Address - Street 1:310 CIVIC AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5230
Practice Address - Country:US
Practice Address - Phone:410-742-2229
Practice Address - Fax:410-742-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1390 PT111N00000X
MD1849 PT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD592LMedicare PIN