Provider Demographics
NPI:1649390295
Name:CESCA FAMILY CHIROPRACTIC CTR, INC.
Entity Type:Organization
Organization Name:CESCA FAMILY CHIROPRACTIC CTR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:CESCA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-558-8992
Mailing Address - Street 1:1290 BALTIMORE PIKE STE 106
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-7361
Mailing Address - Country:US
Mailing Address - Phone:610-558-8992
Mailing Address - Fax:610-558-7884
Practice Address - Street 1:1290 BALTIMORE PIKE STE 106
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-7361
Practice Address - Country:US
Practice Address - Phone:610-558-8992
Practice Address - Fax:610-558-7884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2197822000OtherPERSONAL CHOICE
PA070025Medicare ID - Type UnspecifiedMEDICARE GROUP
PA2197822000OtherPERSONAL CHOICE
PAU95407Medicare UPIN