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 |