Healthcare Provider Details

I. General information

NPI: 1417102740
Provider Name (Legal Business Name): STEWART CHIROPRACTIC CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3472 ROUTE 130
HARRISON CITY PA
15636-1203
US

IV. Provider business mailing address

3472 ROUTE 130
HARRISON PA
15636-2797
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-0020
  • Fax: 724-744-0020
Mailing address:
  • Phone: 724-744-0020
  • Fax: 724-744-0020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JEFFERY DAVID STEWART
Title or Position: PRESIDENT
Credential: D.C.
Phone: 724-744-0020