Provider Demographics
NPI:1265565410
Name:PREFERRED CHIROPRACTIC CENTERS, INC.
Entity type:Organization
Organization Name:PREFERRED CHIROPRACTIC CENTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-273-7400
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344-0580
Mailing Address - Country:US
Mailing Address - Phone:610-273-7400
Mailing Address - Fax:610-273-7013
Practice Address - Street 1:2501 CONESTOGA AVE
Practice Address - Street 2:
Practice Address - City:HONEY BROOK
Practice Address - State:PA
Practice Address - Zip Code:19344-0580
Practice Address - Country:US
Practice Address - Phone:610-273-7400
Practice Address - Fax:610-273-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005845L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0472540000OtherPERSONAL CHOICE
PA0472540000OtherPERSONAL CHOICE