Provider Demographics
NPI:1477884997
Name:ROSE POINT CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ROSE POINT CHIROPRACTIC LLC
Other - Org Name:SHENANGO SPINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-856-8390
Mailing Address - Street 1:2540 NEW BUTLER ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3225
Mailing Address - Country:US
Mailing Address - Phone:724-856-8390
Mailing Address - Fax:724-856-8573
Practice Address - Street 1:2540 NEW BUTLER ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3225
Practice Address - Country:US
Practice Address - Phone:724-856-8390
Practice Address - Fax:724-856-8573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004086L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084467Medicare PIN