Provider Demographics
NPI:1063602969
Name:WINEGARDNER CHIROPRACTIC LIMITED
Entity type:Organization
Organization Name:WINEGARDNER CHIROPRACTIC LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WINEGARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-702-2225
Mailing Address - Street 1:39 N PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-1760
Mailing Address - Country:US
Mailing Address - Phone:740-702-2225
Mailing Address - Fax:740-702-2226
Practice Address - Street 1:39 N PLAZA BLVD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-1760
Practice Address - Country:US
Practice Address - Phone:740-702-2225
Practice Address - Fax:740-702-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2675111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9332711Medicare PIN