Healthcare Provider Details
I. General information
NPI: 1992988174
Provider Name (Legal Business Name): BARCLAY FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2007
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10850 SUSQUEHANNA TRL S
GLEN ROCK PA
17327-8217
US
IV. Provider business mailing address
10850 SUSQUEHANNA TRL S
GLEN ROCK PA
17327-8217
US
V. Phone/Fax
- Phone: 717-227-2227
- Fax: 717-227-2201
- Phone: 717-227-2227
- Fax: 717-227-2201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 8654 |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
KAREN
ELIZABETH
BARCLAY
Title or Position: OWNER
Credential: DC
Phone: 717-227-2227