Provider Demographics
NPI:1497196752
Name:CORPORATE HEALTH & REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:CORPORATE HEALTH & REHABILITATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-731-1911
Mailing Address - Street 1:17 POLLY DRUMMOND SHPG CTR STE 102
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4820
Mailing Address - Country:US
Mailing Address - Phone:302-731-1911
Mailing Address - Fax:302-731-1955
Practice Address - Street 1:17 POLLY DRUMMOND SHPG CTR STE 102
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4820
Practice Address - Country:US
Practice Address - Phone:302-731-1911
Practice Address - Fax:302-731-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty