Healthcare Provider Details

I. General information

NPI: 1942542824
Provider Name (Legal Business Name): SPINOS FAMILY CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2013
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 NEW GERMANY RD SUITE 33
EBENSBURG PA
15931-4347
US

IV. Provider business mailing address

3135 NEW GERMANY RD SUITE 33
EBENSBURG PA
15931-4347
US

V. Phone/Fax

Practice location:
  • Phone: 814-322-5446
  • Fax:
Mailing address:
  • Phone: 814-419-8445
  • Fax: 814-419-8439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JAMES M SPINOS JR.
Title or Position: PRES
Credential: D.C.
Phone: 814-419-8445