MEDICARE: PRICE CHIROPRACTIC ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC003038L	PA

General Provider Information

NPI Number	:	1417020108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRICE CHIROPRACTIC ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	4641 POTTSVILLE PIKE
Second Line	:
City	:	READING
State	:	PA
Zip	:	19605
Country	:	US
Telephone Number	:	610-926-1212
Fax Number	:	610-926-9878

Provider Business Practice Location Address
First Line	:	4641A POTTSVILLE PIKE
Second Line	:	SUITE 101
City	:	READING
State	:	PA
Zip	:	19605-9707
Country	:	US
Telephone Number	:	610-926-1212
Fax Number	:	610-926-9878

Authorized Official
Title or Position	:	PRESEDINT
Name	:	DR. MITCHELL A PRICE
Credential	:	D.C.
Telephone Number	:	610-926-1212

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	08/22/2020

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