Provider Demographics
NPI:1093831448
Name:GREEN HILLS CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:GREEN HILLS CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:BELLINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-777-9945
Mailing Address - Street 1:1903 MORGANTOWN RD # C
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-9620
Mailing Address - Country:US
Mailing Address - Phone:610-777-9945
Mailing Address - Fax:610-777-9947
Practice Address - Street 1:1903 MORGANTOWN RD # C
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-9620
Practice Address - Country:US
Practice Address - Phone:610-777-9945
Practice Address - Fax:610-777-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty