Provider Demographics
NPI:1639231095
Name:KASSIS, ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:KASSIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-9758
Mailing Address - Country:US
Mailing Address - Phone:610-868-1713
Mailing Address - Fax:610-868-4279
Practice Address - Street 1:4430 EASTON AVE
Practice Address - Street 2:
Practice Address - City:BETHEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9758
Practice Address - Country:US
Practice Address - Phone:610-868-1713
Practice Address - Fax:610-868-4279
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004022L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02787400OtherCAPITAL BLUE CROSS
PAKA1389708OtherHIGHMARK B S
PAKA1389708OtherHIGHMARK B S
PA0005679700Medicare ID - Type Unspecified