Provider Demographics
NPI:1770813313
Name:TRHJLD, LLC
Entity type:Organization
Organization Name:TRHJLD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-882-9009
Mailing Address - Street 1:27811 ROUTE 220
Mailing Address - Street 2:P.O. BOX 86
Mailing Address - City:ATHENS
Mailing Address - State:PA
Mailing Address - Zip Code:18810-9653
Mailing Address - Country:US
Mailing Address - Phone:570-882-9009
Mailing Address - Fax:570-882-9011
Practice Address - Street 1:27811 ROUTE 220
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-9653
Practice Address - Country:US
Practice Address - Phone:570-882-9009
Practice Address - Fax:570-882-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004363L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty