Provider Demographics
NPI:1700855079
Name:COMPLETE HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:COMPLETE HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:REGGIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-251-9336
Mailing Address - Street 1:1114 TEXAS PALMYRA HWY BOX 2
Mailing Address - Street 2:STE C
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431
Mailing Address - Country:US
Mailing Address - Phone:570-251-9336
Mailing Address - Fax:570-251-9337
Practice Address - Street 1:1114 TEXAS PALMYRA HWY BOX 2
Practice Address - Street 2:STE C
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431
Practice Address - Country:US
Practice Address - Phone:570-251-9336
Practice Address - Fax:570-251-9337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005706L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty