Provider Demographics
NPI:1598921942
Name:RICHARD M POWERS DC PA
Entity Type:Organization
Organization Name:RICHARD M POWERS DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-622-6244
Mailing Address - Street 1:10625 N MILITARY TRAIL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PALM BEACH GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6552
Mailing Address - Country:US
Mailing Address - Phone:561-622-6244
Mailing Address - Fax:561-622-4083
Practice Address - Street 1:10625 N MILITARY TRAIL
Practice Address - Street 2:SUITE 203
Practice Address - City:PALM BEACH GARDEN
Practice Address - State:FL
Practice Address - Zip Code:33410-6552
Practice Address - Country:US
Practice Address - Phone:561-622-6244
Practice Address - Fax:561-622-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0003372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty