Provider Demographics
NPI:1922507391
Name:HEALTHY CHOICES 4 LIFE LLC
Entity Type:Organization
Organization Name:HEALTHY CHOICES 4 LIFE LLC
Other - Org Name:CHESTER COUNTY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-399-1400
Mailing Address - Street 1:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:WESTTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19395-1049
Mailing Address - Country:US
Mailing Address - Phone:610-399-1400
Mailing Address - Fax:
Practice Address - Street 1:14 E STREET RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-8412
Practice Address - Country:US
Practice Address - Phone:610-399-1400
Practice Address - Fax:610-399-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty