MEDICARE: LECHENE CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	DC010280	PA

General Provider Information

NPI Number	:	1851739387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LECHENE CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	411 S LOGAN BLVD
Second Line	:	SUITE 3
City	:	ALTOONA
State	:	PA
Zip	:	16602-5654
Country	:	US
Telephone Number	:	814-944-4747
Fax Number	:	814-943-1210

Provider Business Practice Location Address
First Line	:	411 S LOGAN BLVD
Second Line	:	SUITE 3
City	:	ALTOONA
State	:	PA
Zip	:	16602-5654
Country	:	US
Telephone Number	:	814-944-4747
Fax Number	:	814-943-1210

Authorized Official
Title or Position	:	OWNER
Name	:	BENEDICT G LECHENE
Credential	:	D.C
Telephone Number	:	814-944-4747

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	06/27/2016

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