Provider Demographics
NPI:1770536526
Name:CODER CHIROPRACTIC PC
Entity type:Organization
Organization Name:CODER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-397-7725
Mailing Address - Street 1:1770A LINCOLN HWY E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2639
Mailing Address - Country:US
Mailing Address - Phone:717-397-7725
Mailing Address - Fax:717-397-7727
Practice Address - Street 1:1770A LINCOLN HWY E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2639
Practice Address - Country:US
Practice Address - Phone:717-397-7725
Practice Address - Fax:717-397-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001166L111N00000X
PADC005855L111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1902898216OtherNPI
PA1932191228OtherNPI
PA0446022OtherBLUES
PA045528Medicare ID - Type UnspecifiedMEDICARE
PA0446022OtherBLUES