Healthcare Provider Details

I. General information

NPI: 1932275005
Provider Name (Legal Business Name): GREGORY A. FLERCHINGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 COLUMBUS AVE
WSHNGTN CT HS OH
43160-1654
US

IV. Provider business mailing address

1209 COLUMBUS AVE
WSHNGTN CT HS OH
43160-1654
US

V. Phone/Fax

Practice location:
  • Phone: 740-335-0914
  • Fax: 740-335-4050
Mailing address:
  • Phone: 740-335-0914
  • Fax: 740-335-4050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1399
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: