Provider Demographics
NPI:1417583071
Name:ESPE CHIROPRACTIC HEALTH CENTER, PC
Entity Type:Organization
Organization Name:ESPE CHIROPRACTIC HEALTH CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ESPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-749-0869
Mailing Address - Street 1:3722 WILLIAM PENN AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15909-4237
Mailing Address - Country:US
Mailing Address - Phone:814-749-0869
Mailing Address - Fax:814-749-0869
Practice Address - Street 1:3722 WILLIAM PENN AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15909-4237
Practice Address - Country:US
Practice Address - Phone:814-749-0869
Practice Address - Fax:814-749-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty