Healthcare Provider Details

I. General information

NPI: 1093771966
Provider Name (Legal Business Name): BEDFORD FAMILY CHIROPRACTIC CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 LINGENFELTER RD
BEDFORD PA
15522-6636
US

IV. Provider business mailing address

153 LINGENFELTER RD
BEDFORD PA
15522-6636
US

V. Phone/Fax

Practice location:
  • Phone: 814-623-3300
  • Fax:
Mailing address:
  • Phone: 814-623-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MOLLY J FISHER
Title or Position: VICE PRESIDENT
Credential: D.C.
Phone: 814-623-3300