Provider Demographics
NPI:1568625697
Name:BARUN SPINE AND CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BARUN SPINE AND CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HYOUNG
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHEA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-202-8118
Mailing Address - Street 1:32 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2303
Mailing Address - Country:US
Mailing Address - Phone:610-352-8812
Mailing Address - Fax:
Practice Address - Street 1:32 GARRETT RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2303
Practice Address - Country:US
Practice Address - Phone:610-352-8812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1508075623OtherINDIVIDUAL NPI