MEDICARE: ROSE POINT CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	DC004086L	PA

General Provider Information

NPI Number	:	1477884997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE POINT CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	2540 NEW BUTLER ROAD
Second Line	:	SUITE 201
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-856-8390
Fax Number	:	724-856-8573

Provider Business Practice Location Address
First Line	:	2540 NEW BUTLER ROAD
Second Line	:	SUITE 201
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3225
Country	:	US
Telephone Number	:	724-856-8390
Fax Number	:	724-856-8573

Authorized Official
Title or Position	:	OWNER
Name	:	ALAN W HOUK
Credential	:	D.C.
Telephone Number	:	724-856-8390

Provider Enumeration Date	:	01/22/2010
Last Update Date	:	02/19/2020

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Directions to “ROSE POINT CHIROPRACTIC LLC ” Practice Location

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