Provider Demographics
NPI:1790829422
Name:WORLD CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:WORLD CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SLYWKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-581-8888
Mailing Address - Street 1:462 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5508
Mailing Address - Country:US
Mailing Address - Phone:518-581-8888
Mailing Address - Fax:518-583-4185
Practice Address - Street 1:462 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5508
Practice Address - Country:US
Practice Address - Phone:518-581-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
55602AMedicare PIN