Provider Demographics
NPI:1346464278
Name:CHIROPRACTIC MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:CHIROPRACTIC MANAGEMENT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SMARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-763-1222
Mailing Address - Street 1:3514 TRINDLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4444
Mailing Address - Country:US
Mailing Address - Phone:717-763-1222
Mailing Address - Fax:717-763-2072
Practice Address - Street 1:3514 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4444
Practice Address - Country:US
Practice Address - Phone:717-763-1222
Practice Address - Fax:717-763-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC0003170111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA121482Medicare PIN
PA5579470001Medicare NSC