Healthcare Provider Details

I. General information

NPI: 1942317946
Provider Name (Legal Business Name): WENGER CHIROPRACTIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 LITITZ PIKE
LANCASTER PA
17601
US

IV. Provider business mailing address

1516 LITITZ PIKE
LANCASTER PA
17601
US

V. Phone/Fax

Practice location:
  • Phone: 717-397-5810
  • Fax: 717-397-0276
Mailing address:
  • Phone: 717-397-5810
  • Fax: 717-397-0276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID A CARBO
Title or Position: PARTNER
Credential: DC
Phone: 717-397-5810