Healthcare Provider Details

I. General information

NPI: 1942128525
Provider Name (Legal Business Name): BATHGATE CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 BENNER PIKE
BELLEFONTE PA
16823-8435
US

IV. Provider business mailing address

128 LISK ST
HOWARD PA
16841-4120
US

V. Phone/Fax

Practice location:
  • Phone: 814-355-1119
  • Fax:
Mailing address:
  • Phone: 814-753-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JESSE BATHGATE
Title or Position: OWNER
Credential: DC
Phone: 814-753-0184