Provider Demographics
NPI:1033256540
Name:BEHRMAN CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:BEHRMAN CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-929-1115
Mailing Address - Street 1:2851 CENTRE AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-2567
Mailing Address - Country:US
Mailing Address - Phone:610-929-1115
Mailing Address - Fax:610-929-3548
Practice Address - Street 1:2851 CENTRE AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-2567
Practice Address - Country:US
Practice Address - Phone:610-929-1115
Practice Address - Fax:610-929-3548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003941L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031982OtherAMERICAN SPECIALTY HEALTH
PABE1606382OtherBLUE SHIELD
PA01963101OtherBLUE CROSS
PA1031982OtherAMERICAN SPECIALTY HEALTH