Provider Demographics
NPI:1437405552
Name:VITALE CHIROPRACTIC & REHABILITATION CENTER P.C.
Entity Type:Organization
Organization Name:VITALE CHIROPRACTIC & REHABILITATION CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:VITALE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-438-5896
Mailing Address - Street 1:1700 NORTHAMPTON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3144
Mailing Address - Country:US
Mailing Address - Phone:610-438-5896
Mailing Address - Fax:610-438-5898
Practice Address - Street 1:1700 NORTHAMPTON ST
Practice Address - Street 2:SUITE D
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3144
Practice Address - Country:US
Practice Address - Phone:610-438-5896
Practice Address - Fax:610-438-5898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty