Provider Demographics
NPI:1821028549
Name:CHIROPRACTIC ASSOCIATES OF THE LEHIGH VALLEY, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF THE LEHIGH VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAROLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-395-3356
Mailing Address - Street 1:1243 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 2400
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:610-395-3356
Mailing Address - Fax:610-366-1153
Practice Address - Street 1:1243 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 2400
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-395-3356
Practice Address - Fax:610-366-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02375700OtherCAPITAL BLUE CROSS
PA2810746000OtherINDEPENDENCE BLUE CROSS
PA1938193OtherHIGHMARK BLUE SHIELD
PA1938193OtherHIGHMARK BLUE SHIELD