Provider Demographics
NPI:1497090112
Name:ALL KARE CHIROPRACTIC & LASER CLINIC INC
Entity Type:Organization
Organization Name:ALL KARE CHIROPRACTIC & LASER CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:ROSCOE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-864-3310
Mailing Address - Street 1:12591 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:N HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1336
Mailing Address - Country:US
Mailing Address - Phone:724-864-3310
Mailing Address - Fax:724-864-5154
Practice Address - Street 1:12591 ROUTE 30
Practice Address - Street 2:
Practice Address - City:N HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-1336
Practice Address - Country:US
Practice Address - Phone:724-864-3310
Practice Address - Fax:724-864-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006967L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU67742Medicare UPIN