Organization
BANKO CHIROPRACTIC AND PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED BANKO DC (OWNER/DR)
(610) 252-2216
Entity
Organization
Contact information
Practice address
3615 NICHOLAS ST, EASTON, PA 18045-5113
(610) 252-2216
(610) 252-5597
Mailing address
3615 NICHOLAS ST, EASTON, PA 18045-5113
(610) 252-2216
(610) 252-5597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC001707L
PA
225100000X
Physical Therapist
Primary
PT022924
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ALL NUMBERS PENDING APPROVAL MEDICARE PENNSYLVANIA
PA
Enumeration date
08/14/2013
Last updated
09/21/2015
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