MEDICARE: CENTER VALLEY CHIROPRACTIC INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	111N00000X	Chiropractor
3	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700014800	OTHER		INDIVIDUAL NPI

General Provider Information

NPI Number	:	1669184677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER VALLEY CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	5419 ROUTE 309
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-9601
Country	:	US
Telephone Number	:	610-282-1722
Fax Number	:	610-282-0101

Provider Business Practice Location Address
First Line	:	5419 ROUTE 309
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-9601
Country	:	US
Telephone Number	:	610-282-1722
Fax Number	:	610-282-0101

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE LYNCH
Credential	:	D.C.
Telephone Number	:	610-282-1722

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	04/05/2023

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Directions to “CENTER VALLEY CHIROPRACTIC INC. ” Practice Location

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