Provider Demographics
NPI:1831426154
Name:NEW LOUDON CHIROPRACTIC PC
Entity type:Organization
Organization Name:NEW LOUDON CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:UHL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-783-3031
Mailing Address - Street 1:637 NEW LOUDON RD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-4077
Mailing Address - Country:US
Mailing Address - Phone:518-783-3031
Mailing Address - Fax:518-783-3032
Practice Address - Street 1:637 NEW LOUDON RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-4077
Practice Address - Country:US
Practice Address - Phone:518-783-3031
Practice Address - Fax:518-783-3032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty