Provider Demographics
NPI:1881747731
Name:ENLOW CHIROPRACTIC ASSOCIATES
Entity type:Organization
Organization Name:ENLOW CHIROPRACTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-582-1541
Mailing Address - Street 1:10 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-9125
Mailing Address - Country:US
Mailing Address - Phone:610-582-1541
Mailing Address - Fax:610-582-1545
Practice Address - Street 1:10 CARDINAL DR
Practice Address - Street 2:
Practice Address - City:BIRDSBORO
Practice Address - State:PA
Practice Address - Zip Code:19508
Practice Address - Country:US
Practice Address - Phone:610-582-1541
Practice Address - Fax:610-582-1545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001331L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2578454000OtherINDEPENDENCE BLUE CROSS
PA1778278OtherHIGHMARK
PA107185Medicare ID - Type Unspecified
PAT28712Medicare UPIN