Provider Demographics
NPI:1821042656
Name:BMB CHIROPRACTIC
Entity Type:Organization
Organization Name:BMB CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYZICK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-970-3040
Mailing Address - Street 1:607 LOUIS DR STE B
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2843
Mailing Address - Country:US
Mailing Address - Phone:215-957-5400
Mailing Address - Fax:215-957-5401
Practice Address - Street 1:3 N RIVER ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1334
Practice Address - Country:US
Practice Address - Phone:570-970-3040
Practice Address - Fax:570-970-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty