Provider Demographics
NPI:1972617603
Name:UPPER BUCKS CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:UPPER BUCKS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:WIKTORCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:RN,DC
Authorized Official - Phone:610-847-5141
Mailing Address - Street 1:2544 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9620
Mailing Address - Country:US
Mailing Address - Phone:610-847-5141
Mailing Address - Fax:610-847-5142
Practice Address - Street 1:2544 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9620
Practice Address - Country:US
Practice Address - Phone:610-847-5141
Practice Address - Fax:610-847-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004008L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty