Organization
CHIROPRACTIC & NUTRITION CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE ALICIA SHERIDAN D.C. (PRESIDENT)
(570) 822-8254
Entity
Organization
Contact information
Practice address
68 LEE PARK AVE, HANOVER TOWNSHIP, PA 18706-4015
(570) 822-8254
(570) 822-1876
Mailing address
68 LEE PARK AVE, HANOVER TOWNSHIP, PA 18706-4015
(570) 822-8254
(570) 822-1876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017387620001
—
PA
01
—
808888
FIRST PRIORITY
PA
01
—
CH730174
BLUE SHIELD
PA
Enumeration date
01/19/2007
Last updated
05/07/2013
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