Provider Demographics
NPI:1407041015
Name:BAFILE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:BAFILE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:VITO
Authorized Official - Last Name:BAFILE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:570-788-3737
Mailing Address - Street 1:715 W BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:SUGARLOAF
Mailing Address - State:PA
Mailing Address - Zip Code:18249-3003
Mailing Address - Country:US
Mailing Address - Phone:570-788-3737
Mailing Address - Fax:570-788-3735
Practice Address - Street 1:715 W BUTLER DR
Practice Address - Street 2:
Practice Address - City:SUGARLOAF
Practice Address - State:PA
Practice Address - Zip Code:18249-3003
Practice Address - Country:US
Practice Address - Phone:570-788-3737
Practice Address - Fax:570-788-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007795L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
N09492OtherAMERIHEALTH
PA001994594OtherBLUESHIELD
69677OtherGEISINGER
7369295OtherAETNA
822305Other1ST PRIORITY
000000227822OtherUNISON
11023859OtherCAQH
PABA1309492OtherBLUESHIELD
002256301OtherCAPITOL BLUE CROSS
1032833OtherASHN
PA0018778550003Medicaid
049345XNWMedicare PIN
000000227822OtherUNISON
002256301OtherCAPITOL BLUE CROSS