Organization
CHANCEFOR CORPORATION T/A SACKETT FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD W SACKETT DC (DOCTOR)
(717) 633-9500
Entity
Organization
Contact information
Practice address
1310 BALTIMORE ST, HANOVER, PA 17331-4407
(717) 633-9500
Mailing address
1310 BALTIMORE ST, HANOVER, PA 17331-4407
(717) 633-9500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005914L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091442
MEDICARE LEGACY
PA
Enumeration date
09/26/2007
Last updated
09/26/2007
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