1780864165 NPI number — GALEOTTI FAMILY CHIROPRACTIC CENTER, PC

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 1780864165 NPI number — GALEOTTI FAMILY CHIROPRACTIC CENTER, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GALEOTTI FAMILY CHIROPRACTIC CENTER, 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:
1780864165
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1003A EGYPT ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OAKS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-935-3066
Provider Business Mailing Address Fax Number:
610-935-3067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1003 A EGYPT ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-935-3066
Provider Business Practice Location Address Fax Number:
610-935-3067
Provider Enumeration Date:
11/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GALEOTTI
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
J
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
610-935-3066

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC0087L , 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: 2244138000 . This is a "PERSONAL CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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