National Provider Identifier

Jeremy Wayne Rademacker, D.C.

Jeremy Wayne Rademacker, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Orchard Park, NY and a listed phone number of (716) 675-5544.

NPI 1316066335Orchard Park, NYChiropractor

Profile Overview

NPI
1316066335
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
March 29, 2007
Last Updated
July 07, 2015

Practice Location

  • 200 Sterling Dr
  • Ste 400
  • Orchard Park, NY 14127-1577

Phone: (716) 675-5544

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1316066335
Entity Type
Individual
Last Name
Rademacker
First Name
Jeremy
Middle Name
Wayne
Name Prefix
Dr.
Credential
D.C.
Mailing Street Address
200 Sterling Dr
Mailing Address Line 2
Ste 400
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1577
Mailing Country
US
Mailing Phone
(716) 675-5544
Mailing Fax
(716) 675-5546
Practice Street Address
200 Sterling Dr
Practice Address Line 2
Ste 400
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1577
Practice Country
US
Practice Phone
(716) 675-5544
Practice Fax
(716) 675-5546
Enumeration Date
March 29, 2007
Last Updated
July 07, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)
Other Identifiers
C08352-9 (NY, Worker'S Compensation)