Provider Demographics
NPI:1043460785
Name:SHRAGHER CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:SHRAGHER CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SHRAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-672-1996
Mailing Address - Street 1:540 COOPER DR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3666
Mailing Address - Country:US
Mailing Address - Phone:215-672-1996
Mailing Address - Fax:215-672-9455
Practice Address - Street 1:540 COOPER DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3666
Practice Address - Country:US
Practice Address - Phone:215-672-1996
Practice Address - Fax:215-672-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005986L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA063983OtherMEDICARE GROUP NUMBER