Provider Demographics
NPI:1942253232
Name:ANTRIM CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:ANTRIM CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-597-0028
Mailing Address - Street 1:11416 WILLIAMSPORT PIKE
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-8465
Mailing Address - Country:US
Mailing Address - Phone:717-597-0028
Mailing Address - Fax:717-597-0033
Practice Address - Street 1:11416 WILLIAMSPORT PIKE
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-8465
Practice Address - Country:US
Practice Address - Phone:717-597-0028
Practice Address - Fax:717-597-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2192571OtherFIRST HEALTH
PA139186ANOtherPREFERRED CARE
PA3435268OtherAETNA HMO
PA50026094OtherCAPITAL BLUE CROSS
PA5519773OtherCCN
PA7684554OtherAETNA PPO
PAAN1645265OtherBLUE SHIELD
PA3435268OtherAETNA HMO