MEDICARE: SIGAFOOSE CHIROPRACTIC CENTER

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	DC001945L	PA

General Provider Information

NPI Number	:	1578884433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGAFOOSE CHIROPRACTIC CENTER

Provider Business Mailing Address
First Line	:	1668 LINCOLN HWY E
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2662
Country	:	US
Telephone Number	:	717-394-2444
Fax Number	:	717-394-2411

Provider Business Practice Location Address
First Line	:	1668 LINCOLN HWY E
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2662
Country	:	US
Telephone Number	:	717-394-2444
Fax Number	:	717-394-2411

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISS J SIGAFOOSE
Credential	:	DC
Telephone Number	:	717-394-2444

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	06/15/2010

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