Provider Demographics
NPI:1720271737
Name:NEWHART CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:NEWHART CHIROPRACTIC CENTER
Other - Org Name:WILLIAM F. NEWHART D.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:NEWHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-822-4484
Mailing Address - Street 1:225 S RIVER ST
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18705-1123
Mailing Address - Country:US
Mailing Address - Phone:570-822-4484
Mailing Address - Fax:570-822-4482
Practice Address - Street 1:225 S RIVER ST
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18705-1123
Practice Address - Country:US
Practice Address - Phone:570-822-4484
Practice Address - Fax:570-822-4482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005484L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2315208000OtherINDEPENDENT BLUE CROSS PE
PA23388OtherGEISINGER HEALTH PLAN
PA815283OtherFIRST PRIORITY
PA000512906OtherHIGHMARK FREEDOM BLUE
PA1014279OtherASH NETWORK
PA0015554300002Medicaid
PA1640142OtherHIGHMARK BLUE SHIELD
PA346842OtherHEALTH AMERICA
PA346842OtherHEALTH AMERICA