Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC007172L | PA |
NPI | 1043205487 |
---|---|
Provider Name | Dr. Michael Everet Treichler |
First Address | New Cumberland, PA 17070-1118 |
Second Address | New Cumberland, PA 17070-1929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 01/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U69731 | (02) | PA |