Provider Demographics
NPI:1861652703
Name:SELECT CHIROPRACTIC PA
Entity Type:Organization
Organization Name:SELECT CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:PLATE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-377-3532
Mailing Address - Street 1:5858 W MAIN ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4190
Mailing Address - Country:US
Mailing Address - Phone:972-377-3532
Mailing Address - Fax:972-377-2562
Practice Address - Street 1:5858 W MAIN ST
Practice Address - Street 2:SUITE 230
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4190
Practice Address - Country:US
Practice Address - Phone:972-377-3532
Practice Address - Fax:972-377-2562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty