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GREAT LAKES FAMILY CHIROPRACTIC CENTERPC NPI 1407024144


NPI Information

NPI: 1407024144
Provider Name: GREAT LAKES FAMILY CHIROPRACTIC CENTER,PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1009 E 38TH ST
ERIE, PA
ZIP 16504
Phone: (814) 824-6442
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GREAT LAKES FAMILY CHIROPRACTIC CENTER,PC is a chiropractor in Erie, PA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GREAT LAKES FAMILY CHIROPRACTIC CENTER,PC NPI is 1407024144. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1009 E 38TH ST
ERIE, PA
ZIP 16504-843
Phone: (814) 824-6442
Fax: (814) 824-4007

The provider's authorized official is Lynne E Hulse .
The authorized official title is Office Manager and has the following contact phone number (814) 824-6442.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 7/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC005135LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11394234OTHERPENNSYLVANIABLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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