Provider Demographics
NPI:1548426521
Name:GILROY FAMILY CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:GILROY FAMILY CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:GILROY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-837-1041
Mailing Address - Street 1:107 E MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-1519
Mailing Address - Country:US
Mailing Address - Phone:610-837-1041
Mailing Address - Fax:610-837-4090
Practice Address - Street 1:107 E MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BATH
Practice Address - State:PA
Practice Address - Zip Code:18014-1519
Practice Address - Country:US
Practice Address - Phone:610-837-1041
Practice Address - Fax:610-837-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty