Provider Demographics
NPI:1356403299
Name:THE CHIROPRACTIC HEALTH WORKS P.C.
Entity type:Organization
Organization Name:THE CHIROPRACTIC HEALTH WORKS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:STROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-385-2860
Mailing Address - Street 1:680 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCHUYLKILL HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17972-1428
Mailing Address - Country:US
Mailing Address - Phone:570-385-2860
Mailing Address - Fax:570-385-3576
Practice Address - Street 1:680 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SCHUYLKILL HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17972-1428
Practice Address - Country:US
Practice Address - Phone:570-385-2860
Practice Address - Fax:570-385-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004807L111N00000X
PADC004799L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1073579249OtherINDIVIDUAL NPI
PA1790770840OtherINDIVIDUAL NPI
PA1132139OtherHIGH MARK BLUE SHIELD
PA117339OtherHIGH MARK BLUE SHIELD
PA1356403299OtherCORPORATE NPI
PA02875900OtherCAPITOL BLUE CROSS
PA725213OtherBLUE SHIELD
PA1132139OtherHIGH MARK BLUE SHIELD
PA725217Medicare PIN