Provider Demographics
NPI:1124547831
Name:HERSHEY 1 LLC
Entity Type:Organization
Organization Name:HERSHEY 1 LLC
Other - Org Name:HERSHEY FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-779-0001
Mailing Address - Street 1:2710 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6546
Mailing Address - Country:US
Mailing Address - Phone:724-779-0001
Mailing Address - Fax:724-779-0003
Practice Address - Street 1:935 E CHOCOLATE AVE
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1216
Practice Address - Country:US
Practice Address - Phone:717-531-3411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty