Provider Demographics
NPI:1407600273
Name:NBDTMH DC PLLC
Entity Type:Organization
Organization Name:NBDTMH DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-882-9009
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:PA
Mailing Address - Zip Code:18810-0086
Mailing Address - Country:US
Mailing Address - Phone:570-882-9009
Mailing Address - Fax:570-882-9011
Practice Address - Street 1:29767 ROUTE 220
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:PA
Practice Address - Zip Code:18810-9103
Practice Address - Country:US
Practice Address - Phone:570-882-9009
Practice Address - Fax:570-882-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty