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CHIROPLUS OF LOCUST LANE INC NPI 1588666374


NPI Information

NPI: 1588666374
Provider Name: CHIROPLUS OF LOCUST LANE, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 39D2045705

Address:
4607 LOCUST LN
HARRISBURG, PA
ZIP 17109
Phone: (717) 545-6063
Get Directions

CHIROPLUS OF LOCUST LANE, INC is a chiropractor in Harrisburg, 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. CHIROPLUS OF LOCUST LANE, INC NPI is 1588666374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4607 LOCUST LN
HARRISBURG, PA
ZIP 17109-449
Phone: (717) 545-6063
Fax: (717) 545-8510

The provider's authorized official is Randy S Frederick .
The authorized official title is Owner and has the following contact phone number (717) 545-6063.

The CLIA number assigned to this NPI record is 39D2045705 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 6/6/2008.


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
1111N00000XChiropractorDC005233RPENNSYLVANIAYes

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
1478570MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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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