Provider Demographics
NPI:1558563916
Name:EAST ALLEN CHIROPRACTIC AND REHAB,INC
Entity Type:Organization
Organization Name:EAST ALLEN CHIROPRACTIC AND REHAB,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-837-8383
Mailing Address - Street 1:8542 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-9738
Mailing Address - Country:US
Mailing Address - Phone:610-837-8383
Mailing Address - Fax:610-837-7373
Practice Address - Street 1:8542 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-9738
Practice Address - Country:US
Practice Address - Phone:610-837-8383
Practice Address - Fax:610-837-7373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC0004234L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty