Individual
DR. CHARLES RICHARD ELCHERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-3587
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222583
ANTHEM
OH
05
—
2195931
—
OH
Enumeration date
12/22/2005
Last updated
04/27/2018
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