Provider Demographics
NPI:1235293697
Name:CENTRAL BUCKS HEALTH ASSOCIATES LLC
Entity Type:Organization
Organization Name:CENTRAL BUCKS HEALTH ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:VIRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-328-9170
Mailing Address - Street 1:1250 OLD YORK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2013
Mailing Address - Country:US
Mailing Address - Phone:215-328-9170
Mailing Address - Fax:
Practice Address - Street 1:1250 OLD YORK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2013
Practice Address - Country:US
Practice Address - Phone:215-328-9170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006423L111N00000X
PADC006429L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty