Provider Demographics
NPI:1326318023
Name:LEVY CHIROPRACTIC CENTER, PA
Entity Type:Organization
Organization Name:LEVY CHIROPRACTIC CENTER, PA
Other - Org Name:CHIROPRACTIC HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:HUTCHESON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-544-3715
Mailing Address - Street 1:1920 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 240
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2293
Mailing Address - Country:US
Mailing Address - Phone:919-544-3715
Mailing Address - Fax:919-544-7734
Practice Address - Street 1:1920 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 240
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-2293
Practice Address - Country:US
Practice Address - Phone:919-544-3715
Practice Address - Fax:919-544-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08601OtherBCBSNC
NC2449241Medicare PIN