Provider Demographics
NPI:1770822603
Name:KOPICKI CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:KOPICKI CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPICKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-455-4664
Mailing Address - Street 1:3254 W RIDGE PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19464
Mailing Address - Country:US
Mailing Address - Phone:484-455-4664
Mailing Address - Fax:484-455-4498
Practice Address - Street 1:3254 W RIDGE PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:484-455-4664
Practice Address - Fax:484-455-4498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-13
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty