Provider Demographics
NPI:1336648138
Name:TRI-COUNTY CHIROPRACTIC OF NEW HOLLAND, PC
Entity Type:Organization
Organization Name:TRI-COUNTY CHIROPRACTIC OF NEW HOLLAND, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-385-1444
Mailing Address - Street 1:990 BEN FRANKLIN HWY E
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9547
Mailing Address - Country:US
Mailing Address - Phone:610-385-1444
Mailing Address - Fax:610-385-1441
Practice Address - Street 1:990 BEN FRANKLIN HWY E
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-9547
Practice Address - Country:US
Practice Address - Phone:610-385-1444
Practice Address - Fax:610-385-1441
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007901-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1912904368OtherINDIVIDUAL NPI