Provider Demographics
NPI:1063759827
Name:WEINHOLD CHIROPRACTIC CLINIC LLC
Entity type:Organization
Organization Name:WEINHOLD CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SHAREHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINHOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-653-4861
Mailing Address - Street 1:535 FARMVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-2932
Mailing Address - Country:US
Mailing Address - Phone:717-653-4861
Mailing Address - Fax:717-653-6851
Practice Address - Street 1:535 FARMVIEW LN
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-2932
Practice Address - Country:US
Practice Address - Phone:717-653-4861
Practice Address - Fax:717-653-6851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC5146L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty