Provider Demographics
NPI:1174212617
Name:NANTICOKE CHIROPRACTIC & WEIGHT LOSS CENTER INC
Entity type:Organization
Organization Name:NANTICOKE CHIROPRACTIC & WEIGHT LOSS CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-628-8706
Mailing Address - Street 1:1340 MIDDLEFORD ROAD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3665
Mailing Address - Country:US
Mailing Address - Phone:302-628-8706
Mailing Address - Fax:302-628-8766
Practice Address - Street 1:1340 MIDDLEFORD ROAD
Practice Address - Street 2:SUITE 402
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3665
Practice Address - Country:US
Practice Address - Phone:302-628-8706
Practice Address - Fax:302-628-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty