Provider Demographics
NPI:1417102740
Name:STEWART CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:STEWART CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-744-0020
Mailing Address - Street 1:3472 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:PA
Mailing Address - Zip Code:15636-2797
Mailing Address - Country:US
Mailing Address - Phone:724-744-0020
Mailing Address - Fax:724-744-0020
Practice Address - Street 1:3472 ROUTE 130
Practice Address - Street 2:
Practice Address - City:HARRISON CITY
Practice Address - State:PA
Practice Address - Zip Code:15636-1203
Practice Address - Country:US
Practice Address - Phone:724-744-0020
Practice Address - Fax:724-744-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty