Healthcare Provider Details

I. General information

NPI: 1992810212
Provider Name (Legal Business Name): VITAL LINK CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 06/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1186 CHURCH ST
MOSCOW PA
18444-9346
US

IV. Provider business mailing address

1186 CHURCH ST
MOSCOW PA
18444-9346
US

V. Phone/Fax

Practice location:
  • Phone: 570-842-5131
  • Fax: 570-842-5126
Mailing address:
  • Phone: 570-842-5131
  • Fax: 570-842-5126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ERIK R SCHMIDT
Title or Position: PRESIDENT
Credential: DC
Phone: 570-842-5131