Provider Demographics
NPI:1710108808
Name:ADVANTAGE CHIROPRACTIC CENTERS, LLC
Entity Type:Organization
Organization Name:ADVANTAGE CHIROPRACTIC CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARBUCKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-285-7600
Mailing Address - Street 1:205 SUNSET DR
Mailing Address - Street 2:STE. 2
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1301
Mailing Address - Country:US
Mailing Address - Phone:724-285-7600
Mailing Address - Fax:724-285-7603
Practice Address - Street 1:205 SUNSET DR
Practice Address - Street 2:STE. 2
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1301
Practice Address - Country:US
Practice Address - Phone:724-285-7600
Practice Address - Fax:724-285-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008889111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty