Healthcare Provider Details

I. General information

NPI: 1942253232
Provider Name (Legal Business Name): ANTRIM CHIROPRACTIC CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11416 WILLIAMSPORT PIKE
GREENCASTLE PA
17225-8465
US

IV. Provider business mailing address

11416 WILLIAMSPORT PIKE
GREENCASTLE PA
17225-8465
US

V. Phone/Fax

Practice location:
  • Phone: 717-597-0028
  • Fax: 717-597-0033
Mailing address:
  • Phone: 717-597-0028
  • Fax: 717-597-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009020
License Number StatePA

VIII. Authorized Official

Name: DR. SHAWN M NEFF
Title or Position: MEMBER
Credential: D.C.
Phone: 717-597-0028