Provider Demographics
NPI:1992357347
Name:LOVE CHIROPRACTIC CENTER HARRISBURG, INC.
Entity Type:Organization
Organization Name:LOVE CHIROPRACTIC CENTER HARRISBURG, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:047-455-1711
Mailing Address - Street 1:215 BRANCHVIEW DR NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-3416
Mailing Address - Country:US
Mailing Address - Phone:704-784-1711
Mailing Address - Fax:704-784-9161
Practice Address - Street 1:175 SIMS PKWY
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7627
Practice Address - Country:US
Practice Address - Phone:704-455-1711
Practice Address - Fax:980-258-8990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty