Provider Demographics
NPI:1366461550
Name:CHIROPRACTIC FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:CHIROPRACTIC FAMILY HEALTH CENTER
Other - Org Name:SHAWN RICHEY DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-940-9000
Mailing Address - Street 1:2591 WEXFORD BAYNE RD
Mailing Address - Street 2:SPECTRA BLDG II SUITE 207
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8676
Mailing Address - Country:US
Mailing Address - Phone:724-940-9000
Mailing Address - Fax:724-940-9032
Practice Address - Street 1:2591 WEXFORD BAYNE RD
Practice Address - Street 2:SPECTRA BLDG II SUITE 207
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8676
Practice Address - Country:US
Practice Address - Phone:724-940-9000
Practice Address - Fax:724-940-9032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1590850OtherBCBS
PA1590850OtherBCBS
PA085049Medicare ID - Type UnspecifiedMEDICARE