Provider Demographics
NPI:1457740177
Name:CENCI CHIROPRACTIC
Entity Type:Organization
Organization Name:CENCI CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CENCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:570-409-4747
Mailing Address - Street 1:306 W HARFORD ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-1107
Mailing Address - Country:US
Mailing Address - Phone:570-409-4747
Mailing Address - Fax:570-409-4749
Practice Address - Street 1:306 W HARFORD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1107
Practice Address - Country:US
Practice Address - Phone:570-409-4747
Practice Address - Fax:570-409-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-19
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396654Medicare PIN