Provider Demographics
NPI:1902971724
Name:BIRCHLER, PETER SAMUEL (DC)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:SAMUEL
Last Name:BIRCHLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 SHENANGO RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-7111
Mailing Address - Country:US
Mailing Address - Phone:724-384-0410
Mailing Address - Fax:724-581-4363
Practice Address - Street 1:744 SHENANGO RD
Practice Address - Street 2:SUITE 3
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-7111
Practice Address - Country:US
Practice Address - Phone:724-384-0410
Practice Address - Fax:724-581-4363
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA340221Medicare UPIN