Provider Demographics
NPI:1720104326
Name:SHREWSBURY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SHREWSBURY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEIERSCHMITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-235-2526
Mailing Address - Street 1:8 CONSTITUTION AVENUE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17361-1710
Mailing Address - Country:US
Mailing Address - Phone:717-235-2526
Mailing Address - Fax:717-235-6922
Practice Address - Street 1:8 CONSTITUTION AVENUE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1710
Practice Address - Country:US
Practice Address - Phone:717-235-2526
Practice Address - Fax:717-235-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007016L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011906Medicare ID - Type Unspecified
PAU71215Medicare UPIN