1134317985 NPI number — WEST END CHIROPRACTIC CENTER INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134317985 NPI number — WEST END CHIROPRACTIC CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST END CHIROPRACTIC CENTER INC.
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:
1134317985
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 739
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCIOTA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18354-0739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-992-4140
Provider Business Mailing Address Fax Number:
570-992-4140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
STATE ROUTE 209
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCIOTA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18354-0739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-992-4140
Provider Business Practice Location Address Fax Number:
570-992-4140
Provider Enumeration Date:
10/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KAHN
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
570-992-4140

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC-003581-L , 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: 22235 . This is a "PA MASTER CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5898181 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P1806758 . This is a "FIRST PRIORITY OXFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2518569 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 814852 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0855629000 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 814489 . This is a "FIRST PRIORITY HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2467749 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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