1376552794 NPI number — CARPENTER FAMILY CHIROPRACTIC PC

Table of content: (NPI 1376552794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376552794 NPI number — CARPENTER FAMILY CHIROPRACTIC PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARPENTER FAMILY CHIROPRACTIC PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376552794
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 216
Provider Second Line Business Mailing Address:
263 E BROAD STREET
Provider Business Mailing Address City Name:
TRUMBAUERSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-529-6077
Provider Business Mailing Address Fax Number:
215-529-6078

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
263 E BROAD STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRUMBAUERSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18970
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-529-6077
Provider Business Practice Location Address Fax Number:
215-529-6078
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARPENTER
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
215-529-6077

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC5765L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: DC009377L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SNI1768247 . This is a "HMBC DR SNYDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: CA80038 . This is a "HMBC DR CARPENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: PPO3976961 . This is a "AETNA DR SNYDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2450383000 . This is a "KPHE DR SNYDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0824035000 . This is a "KEYSTONE DR CARPENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1768247 . This is a "PC DR SNYDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: HMO3100440 . This is a "AETNA DR CARPENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: PPO7457268 . This is a "AETNA DR CARPENTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: HMO7526710 . This is a "AETNA DR SNYDER" identifier . This identifiers is of the category "OTHER".
  • Identifier: CA1579486 . This is a "BCBS DR CARPENTER" identifier . This identifiers is of the category "OTHER".




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