Provider Demographics
NPI:1770530552
Name:ORR FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:ORR FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-225-4181
Mailing Address - Street 1:1200 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9696
Mailing Address - Country:US
Mailing Address - Phone:724-225-4181
Mailing Address - Fax:724-225-5511
Practice Address - Street 1:1200 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9696
Practice Address - Country:US
Practice Address - Phone:724-225-4181
Practice Address - Fax:724-225-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005537-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA064473OtherBLUE SHIELD
PA064473OtherBLUE SHIELD
PAOR064473Medicare ID - Type UnspecifiedINDIVIDUAL