Provider Demographics
NPI:1336156942
Name:COMPLETE CHIROPRACTIC AND SPINE CENTER, INC.
Entity Type:Organization
Organization Name:COMPLETE CHIROPRACTIC AND SPINE CENTER, INC.
Other - Org Name:SHANFELD CHIROPRACTIC OF FEASTERVILLE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-814-0490
Mailing Address - Street 1:4 S. 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944
Mailing Address - Country:US
Mailing Address - Phone:215-814-0490
Mailing Address - Fax:215-639-2770
Practice Address - Street 1:308 W CALLOWHILL ST
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-4802
Practice Address - Country:US
Practice Address - Phone:215-814-0490
Practice Address - Fax:215-639-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty