Provider Demographics
NPI:1154085009
Name:LANCASTER CHIROPRACTIC CARE LLC
Entity Type:Organization
Organization Name:LANCASTER CHIROPRACTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAK
Authorized Official - Middle Name:NAVIN
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-904-3061
Mailing Address - Street 1:2407 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3736
Mailing Address - Country:US
Mailing Address - Phone:856-904-3061
Mailing Address - Fax:215-332-8691
Practice Address - Street 1:2407 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3736
Practice Address - Country:US
Practice Address - Phone:856-904-3061
Practice Address - Fax:215-332-8691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1036188000001Medicaid
PA1083056683OtherINDIVIDUAL NPI