Provider Demographics
NPI:1164740379
Name:JULIE MADEIRA CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:JULIE MADEIRA CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MADEIRA
Authorized Official - Last Name:NIEDWICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-766-9700
Mailing Address - Street 1:2507 GETTYSBURG RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-7308
Mailing Address - Country:US
Mailing Address - Phone:717-766-9700
Mailing Address - Fax:717-909-6870
Practice Address - Street 1:2507 GETTYSBURG RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7308
Practice Address - Country:US
Practice Address - Phone:717-766-9700
Practice Address - Fax:717-909-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006410L111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty