Provider Demographics
NPI:1558485391
Name:CHIROPRACTIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FACO
Authorized Official - Phone:717-865-6623
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:JONESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17038-0657
Mailing Address - Country:US
Mailing Address - Phone:717-865-6623
Mailing Address - Fax:717-865-3382
Practice Address - Street 1:10 EAST MARKET STREET
Practice Address - Street 2:
Practice Address - City:JONESTOWN
Practice Address - State:PA
Practice Address - Zip Code:17038
Practice Address - Country:US
Practice Address - Phone:717-865-6623
Practice Address - Fax:717-865-3382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001466L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016066650001Medicaid
PA169861Medicare PIN
PA0016066650001Medicaid