MEDICARE: DALLASTOWN CHIROPRACTIC

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	111N00000X	Chiropractor	DC 008758	PA

General Provider Information

NPI Number	:	1487964623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALLASTOWN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	2527 S QUEEN ST
Second Line	:	SUITE 7
City	:	YORK
State	:	PA
Zip	:	17402-4965
Country	:	US
Telephone Number	:	717-741-1100
Fax Number	:	717-741-1102

Provider Business Practice Location Address
First Line	:	2527 S QUEEN ST
Second Line	:	SUITE 7
City	:	YORK
State	:	PA
Zip	:	17402-4965
Country	:	US
Telephone Number	:	717-741-1100
Fax Number	:	717-741-1102

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. JOSEPH WUNDERLICH
Credential	:	D.C.
Telephone Number	:	717-741-1100

Provider Enumeration Date	:	10/20/2010
Last Update Date	:	10/20/2010

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Directions to “DALLASTOWN CHIROPRACTIC ” Practice Location

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