Provider Demographics
NPI: | 1780739474 |
---|---|
Name: | LEHMAN CHIROPRACTIC, INC. |
Entity type: | Organization |
Organization Name: | LEHMAN CHIROPRACTIC, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | KYLE |
Authorized Official - Middle Name: | WAYNE |
Authorized Official - Last Name: | LEHMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 937-548-9221 |
Mailing Address - Street 1: | 1300 CHIPPEWA DRIVE |
Mailing Address - Street 2: | |
Mailing Address - City: | GREENVILLE |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 45331-2713 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 937-548-9221 |
Mailing Address - Fax: | 937-548-9223 |
Practice Address - Street 1: | 1300 CHIPPEWA DRIVE |
Practice Address - Street 2: | |
Practice Address - City: | GREENVILLE |
Practice Address - State: | OH |
Practice Address - Zip Code: | 45331-2713 |
Practice Address - Country: | US |
Practice Address - Phone: | 937-548-9221 |
Practice Address - Fax: | 937-548-9223 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-24 |
Last Update Date: | 2013-11-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 3997 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |