Provider Demographics
NPI:1699835207
Name:EMPIRE HEALTHCARE SYSTEMS, PC
Entity Type:Organization
Organization Name:EMPIRE HEALTHCARE SYSTEMS, PC
Other - Org Name:HEALTHBRIDGE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-782-1394
Mailing Address - Street 1:928 E. TOWNSHIP LINE ROAD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1942
Mailing Address - Country:US
Mailing Address - Phone:215-782-3891
Mailing Address - Fax:215-782-1187
Practice Address - Street 1:928 E TOWNSHIP LINE ROAD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1942
Practice Address - Country:US
Practice Address - Phone:215-782-1394
Practice Address - Fax:215-782-1187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007748L111N00000X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty