Provider Demographics
NPI:1356368377
Name:ROSE POINT CHIROPRACTIC
Entity type:Organization
Organization Name:ROSE POINT CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOUK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-658-6618
Mailing Address - Street 1:2516 NEW BUTLER RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3225
Mailing Address - Country:US
Mailing Address - Phone:724-658-6618
Mailing Address - Fax:
Practice Address - Street 1:2516 NEW BUTLER RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3225
Practice Address - Country:US
Practice Address - Phone:724-658-6618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALAN W. HOUK, D.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-16
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004086-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084467Medicare ID - Type Unspecified