Provider Demographics
NPI:1376089227
Name:BIALEK CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BIALEK CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BIALEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-839-1800
Mailing Address - Street 1:4575 MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4567
Mailing Address - Country:US
Mailing Address - Phone:716-839-1800
Mailing Address - Fax:716-839-1888
Practice Address - Street 1:4575 MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4567
Practice Address - Country:US
Practice Address - Phone:716-839-1800
Practice Address - Fax:716-839-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty