Ejl DCH Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001713 Issued in VA

Legal business name

EJL DCH INC

Doing business as

Lauterbach Chiropractic & Acupuncture

Practice address

202 Turkeysag TRL
Suite 5
Palmyra, VA 22963-2656

Phone

(434) 591-0900

Fax

(866) 836-8883

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward J Lauterbach, D.C.NPI 1053383802

Title

President

Phone

(434) 591-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lauterbach Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Joseph Lauterbach, D.C.

  • Chiropractor
  • Palmyra, VA
  • NPI 1053383802
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396757357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TURKEYSAG TRL",
            "address_2": "SUITE 5",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632656",
            "telephone_number": "434-591-0900",
            "fax_number": "866-836-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TURKEYSAG TRL",
            "address_2": "SUITE 5",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632656",
            "telephone_number": "434-591-0900",
            "fax_number": "866-836-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJL DCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUTERBACH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-591-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "462513",
            "identifier": "ANTHEM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauterbach Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Jayne Doughty
• Douglas & Victoria M Weiss
• Ashleigh Dressel, DPT
• Catherine Dwyer Dunnavant, PT,DPT
• Agata Agnieszka Dupont
• Erin Chapman DPT
• Jeffrey D Fanney, PT, DPT
• Tristin Federice
• Cynthia Tara Ferguson, PHD CNM MSN MPH
• Amberly Ann Fix, LCSW

• Chiropractor in Palmyra, VA
• Providers in Palmyra, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.