Provider Demographics
NPI:1003095597
Name:HERMAN CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:HERMAN CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OOC
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-762-1773
Mailing Address - Street 1:700 S POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-2198
Mailing Address - Country:US
Mailing Address - Phone:717-762-1773
Mailing Address - Fax:717-762-8544
Practice Address - Street 1:700 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-2198
Practice Address - Country:US
Practice Address - Phone:717-762-1773
Practice Address - Fax:717-762-8544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005304-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty