Provider Demographics
NPI:1619150059
Name:STOVER CHIROPRACTIC CENTERS PA
Entity Type:Organization
Organization Name:STOVER CHIROPRACTIC CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-899-9818
Mailing Address - Street 1:970 PARKER SQ
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7430
Mailing Address - Country:US
Mailing Address - Phone:972-899-9818
Mailing Address - Fax:972-899-9819
Practice Address - Street 1:970 PARKER SQ
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7430
Practice Address - Country:US
Practice Address - Phone:972-899-9818
Practice Address - Fax:972-899-9819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty