Provider Demographics
NPI:1932275005
Name:FLERCHINGER, GREGORY A (DC)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:A
Last Name:FLERCHINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:WSHNGTN CT HS
Mailing Address - State:OH
Mailing Address - Zip Code:43160-1654
Mailing Address - Country:US
Mailing Address - Phone:740-335-0914
Mailing Address - Fax:740-335-4050
Practice Address - Street 1:1209 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:WSHNGTN CT HS
Practice Address - State:OH
Practice Address - Zip Code:43160-1654
Practice Address - Country:US
Practice Address - Phone:740-335-0914
Practice Address - Fax:740-335-4050
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1399111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0975397Medicaid
OH0975397Medicaid
OHU31045Medicare UPIN