Provider Demographics
NPI:1750662623
Name:FARRAGHER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FARRAGHER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:FARRAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-657-9005
Mailing Address - Street 1:121 DANBURY DR
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1006
Mailing Address - Country:US
Mailing Address - Phone:330-881-0966
Mailing Address - Fax:724-510-0150
Practice Address - Street 1:130 ENCLAVE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3208
Practice Address - Country:US
Practice Address - Phone:724-657-9005
Practice Address - Fax:724-510-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty