Provider Demographics
NPI:1790396398
Name:COMUNALE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:COMUNALE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:COMUNALE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-234-0995
Mailing Address - Street 1:14 MOUNT BETHEL PLZ
Mailing Address - Street 2:
Mailing Address - City:MOUNT BETHEL
Mailing Address - State:PA
Mailing Address - Zip Code:18343-5212
Mailing Address - Country:US
Mailing Address - Phone:570-234-0995
Mailing Address - Fax:570-843-7272
Practice Address - Street 1:14 MOUNT BETHEL PLZ
Practice Address - Street 2:
Practice Address - City:MOUNT BETHEL
Practice Address - State:PA
Practice Address - Zip Code:18343-5212
Practice Address - Country:US
Practice Address - Phone:570-234-0995
Practice Address - Fax:570-843-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty