1740339175 NPI number — OECHSLI CHIROPRACTIC PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740339175 NPI number — OECHSLI CHIROPRACTIC PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OECHSLI CHIROPRACTIC PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OECHSLI WOOD CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740339175
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 CIVIC AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21804-5230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-742-2229
Provider Business Mailing Address Fax Number:
410-742-2235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 CIVIC AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804-5230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-742-2229
Provider Business Practice Location Address Fax Number:
410-742-2235
Provider Enumeration Date:
01/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OECHSLI
Authorized Official First Name:
LOUIS
Authorized Official Middle Name:
U
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
410-742-2229

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  1390 PT , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: 1849 PT , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)