Provider Demographics
NPI:1376958629
Name:LEADER HEIGHTS SPINE JOINT & NERVE ASSOCIATES LLC
Entity type:Organization
Organization Name:LEADER HEIGHTS SPINE JOINT & NERVE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAROZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-741-4848
Mailing Address - Street 1:2595 S GEORGE ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5232
Mailing Address - Country:US
Mailing Address - Phone:717-650-6383
Mailing Address - Fax:
Practice Address - Street 1:2595 S GEORGE ST
Practice Address - Street 2:SUITE 7
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5232
Practice Address - Country:US
Practice Address - Phone:717-741-4848
Practice Address - Fax:717-650-6383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty