Provider Demographics
NPI:1033298153
Name:CLEMENS CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CLEMENS CHIROPRACTIC INC
Other - Org Name:CLEMENS CHIROPRACTIC & REHABILITATION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-600-7248
Mailing Address - Street 1:2000 TOWER WAY
Mailing Address - Street 2:SUITE 2036
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-600-7248
Mailing Address - Fax:
Practice Address - Street 1:2000 TOWER WAY
Practice Address - Street 2:SUITE 2036
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-600-7248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007575L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1893143OtherHIGHMARK