Provider Demographics
NPI:1629059886
Name:ALLENTOWN HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:ALLENTOWN HEALTH SERVICES, LLC
Other - Org Name:ASSOCIATED CHIROPRACTIC SPORTS & REHABILITATION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-266-6111
Mailing Address - Street 1:656 5TH ST
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-5836
Mailing Address - Country:US
Mailing Address - Phone:610-266-6111
Mailing Address - Fax:610-266-6593
Practice Address - Street 1:656 5TH ST
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-5836
Practice Address - Country:US
Practice Address - Phone:610-266-6111
Practice Address - Fax:610-266-6593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003589L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty