Provider Demographics
NPI:1568584696
Name:FIRST CHOICE CHIROPRACTIC NEUROLOGY AND REHABILITATION
Entity Type:Organization
Organization Name:FIRST CHOICE CHIROPRACTIC NEUROLOGY AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-967-4996
Mailing Address - Street 1:1301 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-1920
Mailing Address - Country:US
Mailing Address - Phone:610-967-4996
Mailing Address - Fax:
Practice Address - Street 1:1301 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-1920
Practice Address - Country:US
Practice Address - Phone:610-967-4996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005021-6111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA090199Medicare ID - Type Unspecified