Provider Demographics
NPI:1235480542
Name:NORSE CHIROPRACTIC, L.L.C.
Entity Type:Organization
Organization Name:NORSE CHIROPRACTIC, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZIPPILLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-318-8446
Mailing Address - Street 1:163 W LANCASTER AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1784
Mailing Address - Country:US
Mailing Address - Phone:484-318-8446
Mailing Address - Fax:484-318-8496
Practice Address - Street 1:163 W LANCASTER AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1784
Practice Address - Country:US
Practice Address - Phone:484-318-8446
Practice Address - Fax:484-318-8496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC01065111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty