Provider Demographics
NPI:1598946386
Name:IN-LINE CHIROPRACTIC CLINIC, INC
Entity Type:Organization
Organization Name:IN-LINE CHIROPRACTIC CLINIC, INC
Other - Org Name:BEAVER COUNTY SPINAL DISC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ASKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-709-7709
Mailing Address - Street 1:3582 BRODHEAD RD
Mailing Address - Street 2:SUITE #108
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3142
Mailing Address - Country:US
Mailing Address - Phone:724-709-7709
Mailing Address - Fax:724-709-8738
Practice Address - Street 1:3582 BRODHEAD RD
Practice Address - Street 2:SUITE #108
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3142
Practice Address - Country:US
Practice Address - Phone:724-709-7709
Practice Address - Fax:724-709-8738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6067750001Medicare NSC