Provider Demographics
NPI:1003995424
Name:BEALER CHIRO PLUS, LLC
Entity Type:Organization
Organization Name:BEALER CHIRO PLUS, LLC
Other - Org Name:BEALER CHIRO PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JUSTINE
Authorized Official - Last Name:BEALER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-689-3700
Mailing Address - Street 1:7842 BOYERTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-8109
Mailing Address - Country:US
Mailing Address - Phone:610-689-3700
Mailing Address - Fax:610-689-4467
Practice Address - Street 1:7842 BOYERTOWN PIKE
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-8109
Practice Address - Country:US
Practice Address - Phone:610-689-3700
Practice Address - Fax:610-689-4467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076809RXFOtherMEDICARE PROVIDER #
PA076809UWAOtherMEDICARE PROVIDER #
PA50057700OtherCAPITAL BC GROUP #
PA1064067OtherAMERICAN SPECIALTY HEALTH
PA1107802OtherAETNA HMO #
PA7097799OtherAETNA PPO GROUP #
PA2620475000OtherPERSONAL CHOICE
PA50057698OtherCAPITAL BC PRACTITIONER #
PA7694759OtherAETNA PPO PROVIDER #
PABE1783140OtherHIGHMARK
PA50057698OtherCAPITAL BC PRACTITIONER #
PA7097799OtherAETNA PPO GROUP #