Provider Demographics
NPI:1740471267
Name:S2 CHIROPRACTIC, PA
Entity type:Organization
Organization Name:S2 CHIROPRACTIC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-453-5500
Mailing Address - Street 1:990 N WALNUT CREEK DR
Mailing Address - Street 2:SUITE 2018
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-1580
Mailing Address - Country:US
Mailing Address - Phone:817-453-5500
Mailing Address - Fax:817-453-5501
Practice Address - Street 1:990 N WALNUT CREEK DR
Practice Address - Street 2:SUITE 2018
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-1580
Practice Address - Country:US
Practice Address - Phone:817-453-5500
Practice Address - Fax:817-453-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty