Healthcare Provider Details

I. General information

NPI: 1669184677
Provider Name (Legal Business Name): CENTER VALLEY CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5419 ROUTE 309
CENTER VALLEY PA
18034-9601
US

IV. Provider business mailing address

5419 ROUTE 309
CENTER VALLEY PA
18034-9601
US

V. Phone/Fax

Practice location:
  • Phone: 610-282-1722
  • Fax: 610-282-0101
Mailing address:
  • Phone: 610-282-1722
  • Fax: 610-282-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE LYNCH
Title or Position: OWNER
Credential: D.C.
Phone: 610-282-1722