Provider Demographics
NPI:1992998777
Name:KEEFER CHIROPRACTIC CLINIC, PC
Entity type:Organization
Organization Name:KEEFER CHIROPRACTIC CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:F
Authorized Official - Last Name:KEEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-228-7571
Mailing Address - Street 1:288 OLD HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8618
Mailing Address - Country:US
Mailing Address - Phone:724-228-7571
Mailing Address - Fax:
Practice Address - Street 1:288 OLD HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8618
Practice Address - Country:US
Practice Address - Phone:724-228-7571
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001979L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty