Provider Demographics
NPI:1114954484
Name:ACSC OF NEW BRITAIN
Entity Type:Organization
Organization Name:ACSC OF NEW BRITAIN
Other - Org Name:ADVANCED CHIROPRACTIC & SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAIAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-489-7555
Mailing Address - Street 1:440 TOWN CTR
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-6001
Mailing Address - Country:US
Mailing Address - Phone:215-489-7555
Mailing Address - Fax:215-489-3440
Practice Address - Street 1:440 TOWN CTR
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-6001
Practice Address - Country:US
Practice Address - Phone:215-489-7555
Practice Address - Fax:215-489-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007445L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty