Healthcare Provider Details

I. General information

NPI: 1144479320
Provider Name (Legal Business Name): ADAMS COUNTY CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 09/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 CARLISLE ST
GETTYSBURG PA
17325-1835
US

IV. Provider business mailing address

124 CARLISLE ST
GETTYSBURG PA
17325-1835
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-1190
  • Fax:
Mailing address:
  • Phone: 717-337-1190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELA DENISE DOSTER
Title or Position: BUSINESS COORDINATOR
Credential:
Phone: 717-337-1190