BRODHEADSVILLE CHIROPRACTIC NPI 1124023114

NPI Information

  • NPI: 1124023114
  • Provider Name: BRODHEADSVILLE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Other Name: ROBERT J VAN METTER
  • CLIA Number: 39D0191663
  • Address: 6 PILGRIM WAY
    BRODHEADSVILLE, PA
    ZIP 18322
  • Phone: (570) 992-7626

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NPI Details

BRODHEADSVILLE CHIROPRACTIC is a chiropractor in Brodheadsville, 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. BRODHEADSVILLE CHIROPRACTIC NPI is 1124023114. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Robert J Van Metter.

The provider's business location address is:

6 PILGRIM WAY
BRODHEADSVILLE, PA
ZIP 18322-447
Phone: (570) 992-7626
Fax: (570) 992-8759

The provider's authorized official is Robert John Van Metter .
The authorized official title is Owner Chiropractic and has the following contact phone number (570) 992-7626.

The CLIA number assigned to this NPI record is 39D0191663 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorNo
2111N00000XChiropractorDC1730LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1712330MEDICARE PIN
2T30201MEDICARE UPINPENNSYLVANIA

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: 11/21/2025

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