Healthcare Provider Details

I. General information

NPI: 1700855079
Provider Name (Legal Business Name): COMPLETE HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 TEXAS PALMYRA HWY BOX 2 STE C
HONESDALE PA
18431
US

IV. Provider business mailing address

1114 TEXAS PALMYRA HWY BOX 2 STE C
HONESDALE PA
18431
US

V. Phone/Fax

Practice location:
  • Phone: 570-251-9336
  • Fax: 570-251-9337
Mailing address:
  • Phone: 570-251-9336
  • Fax: 570-251-9337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC005706L
License Number StatePA

VIII. Authorized Official

Name: DR. STEVEN S REGGIE
Title or Position: PRESIDENT
Credential: DC
Phone: 570-251-9336