Provider Demographics
NPI:1942364203
Name:BB & L , LLC
Entity Type:Organization
Organization Name:BB & L , LLC
Other - Org Name:ASHLAND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-670-6333
Mailing Address - Street 1:367 W PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-1413
Mailing Address - Country:US
Mailing Address - Phone:610-670-6333
Mailing Address - Fax:610-670-8730
Practice Address - Street 1:1026 CENTRE ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:PA
Practice Address - Zip Code:17921-1245
Practice Address - Country:US
Practice Address - Phone:570-875-1125
Practice Address - Fax:570-875-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU83825Medicare UPIN
PAWO045678Medicare ID - Type Unspecified