Healthcare Provider Details

I. General information

NPI: 1346464278
Provider Name (Legal Business Name): CHIROPRACTIC MANAGEMENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 TRINDLE RD
CAMP HILL PA
17011-4444
US

IV. Provider business mailing address

3514 TRINDLE RD
CAMP HILL PA
17011-4444
US

V. Phone/Fax

Practice location:
  • Phone: 717-763-1222
  • Fax: 717-763-2072
Mailing address:
  • Phone: 717-763-1222
  • Fax: 717-763-2072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC0003170
License Number StatePA

VIII. Authorized Official

Name: DR. THOMAS JOSEPH SMARSH
Title or Position: CHIROPRACTOR
Credential:
Phone: 717-763-1222