Provider Demographics
NPI:1770565368
Name:TWIN HILLS CHIROPRACTIC HEALTH CENTER, P.C.
Entity type:Organization
Organization Name:TWIN HILLS CHIROPRACTIC HEALTH CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIGHOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-546-5454
Mailing Address - Street 1:2796 LYCOMING MALL DR
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-6466
Mailing Address - Country:US
Mailing Address - Phone:570-546-5454
Mailing Address - Fax:570-546-5468
Practice Address - Street 1:2796 LYCOMING MALL DR
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-6466
Practice Address - Country:US
Practice Address - Phone:570-546-5454
Practice Address - Fax:570-546-5468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001684769OtherBLUE SHIELD
PA078669Medicare PIN