Provider Demographics
NPI:1154677227
Name:CONWAY CHIROPRACTIC
Entity Type:Organization
Organization Name:CONWAY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ZEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-876-0230
Mailing Address - Street 1:1679 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BADEN
Mailing Address - State:PA
Mailing Address - Zip Code:15005-1218
Mailing Address - Country:US
Mailing Address - Phone:724-876-0230
Mailing Address - Fax:
Practice Address - Street 1:1679 W STATE ST
Practice Address - Street 2:
Practice Address - City:BADEN
Practice Address - State:PA
Practice Address - Zip Code:15005-1218
Practice Address - Country:US
Practice Address - Phone:724-876-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006398L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty