Healthcare Provider Details

I. General information

NPI: 1689632929
Provider Name (Legal Business Name): NEW HANOVER CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 SWAMP PIKE SUITE 100
GILBERTSVILLE PA
19525-9307
US

IV. Provider business mailing address

1810 SWAMP PIKE SUITE 100
GILBERTSVILLE PA
19525-9307
US

V. Phone/Fax

Practice location:
  • Phone: 610-327-3363
  • Fax: 610-327-9829
Mailing address:
  • Phone: 610-327-3363
  • Fax: 610-327-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. FREDERICK J SYLVESTER
Title or Position: PRESIDENT
Credential: DC
Phone: 610-327-3363