Healthcare Provider Details

I. General information

NPI: 1104099530
Provider Name (Legal Business Name): LEHIGH FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4527 E MAIN ST
BELLEVILLE PA
17004-9227
US

IV. Provider business mailing address

4527 E MAIN ST P.O. BOX 872
BELLEVILLE PA
17004-9227
US

V. Phone/Fax

Practice location:
  • Phone: 717-935-5916
  • Fax:
Mailing address:
  • Phone: 717-935-5916
  • 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. COREY LEHIGH
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 717-935-5916