Provider Demographics
NPI:1811201338
Name:BILDER CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:BILDER CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BILDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-655-8400
Mailing Address - Street 1:16 LUZERNE AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:WEST PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18643-2800
Mailing Address - Country:US
Mailing Address - Phone:570-655-8400
Mailing Address - Fax:570-655-8420
Practice Address - Street 1:16 LUZERNE AVE STE 160
Practice Address - Street 2:
Practice Address - City:WEST PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18643-2800
Practice Address - Country:US
Practice Address - Phone:570-655-8400
Practice Address - Fax:570-655-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABI1689534OtherFIRST PRIORITY LIFE
PA819755OtherFIRST PRIORITY HEALTH
PAV02440Medicare UPIN
PAHE085722Medicare PIN