LEER CHIROPRACTIC CENTER PSC (NPI# 1932267457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932267457 |
Entity Type | Organization |
Organization Name | LEER CHIROPRACTIC CENTER PSC |
Practice Address |
212 S Main St Laotto IN 46763-0218 |
Mailing Address |
Po Box 218 Laotto IN 46763-0218 |
Practice Telephone | 2608973001 |
Mailing Telephone | 2608973001 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2010-11-22 |
Authorized Official Name | DR. RONALD W LEER (PRESIDENT) |
Authorized Official Telephone | 2608973001 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 51000066A | IN | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AETNA INS CO | 4542354 | 01 |
Street Address |
212 S MAIN ST |
City | LAOTTO |
State | IN |
Zip Code | 46763-0218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275836223 | Jamie Lynn Leer | Chiropractor | 212 S Main St, Laotto, IN 46763-4801 | 2010-12-14 |
1245319565 | Ronald W Leer | Chiropractor | 212 S Main St, Laotto, IN 46763-0218 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033323043 | Elizabeth W Lambright | Pharmacist | 5330 S 1100 E, Laotto, IN 46763-9704 | 2007-05-09 |
1164053773 | Spencer Reece Brauchla | Chiropractor | 6265 E 400 S, Laotto, IN 46763-9772 | 2020-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164053773 | Spencer Reece Brauchla | Chiropractor | 6265 E 400 S, Laotto, IN 46763-9772 | 2020-02-01 |
1033323043 | Elizabeth W Lambright | Pharmacist | 5330 S 1100 E, Laotto, IN 46763-9704 | 2007-05-09 |
1275836223 | Jamie Lynn Leer | Chiropractor | 212 S Main St, Laotto, IN 46763-4801 | 2010-12-14 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164053773 | Spencer Reece Brauchla | Chiropractor | 6265 E 400 S, Laotto, IN 46763-9772 | 2020-02-01 |
1275836223 | Jamie Lynn Leer | Chiropractor | 212 S Main St, Laotto, IN 46763-4801 | 2010-12-14 |
1245319565 | Ronald W Leer | Chiropractor | 212 S Main St, Laotto, IN 46763-0218 | 2006-11-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.