Provider Demographics
NPI:1669745774
Name:RON WECHSEL, D.C., INC.
Entity type:Organization
Organization Name:RON WECHSEL, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:WECHSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-752-0090
Mailing Address - Street 1:2228 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6100
Mailing Address - Country:US
Mailing Address - Phone:954-752-0090
Mailing Address - Fax:954-752-7495
Practice Address - Street 1:2228 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6100
Practice Address - Country:US
Practice Address - Phone:954-752-0090
Practice Address - Fax:954-752-7495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty