Provider Demographics
NPI:1831655224
Name:TEPE CHIROPRACTIC SERVICES PC
Entity Type:Organization
Organization Name:TEPE CHIROPRACTIC SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEPE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-898-3300
Mailing Address - Street 1:3122 STATE ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2820
Mailing Address - Country:US
Mailing Address - Phone:814-898-3300
Mailing Address - Fax:208-441-8612
Practice Address - Street 1:3122 STATE ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2820
Practice Address - Country:US
Practice Address - Phone:814-898-3300
Practice Address - Fax:208-441-8612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center