Organization
CHIROPRACTIC ASSOCIATES OF N.E.P.A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY RAVAVICH (OFFICE MANAGER)
(570) 558-2225
Entity
Organization
Contact information
Practice address
1789 NORTH KEYSER AVENUE, SUITE 1, SCRANTON, PA 18508
(570) 558-2225
(570) 558-2226
Mailing address
1789 NORTH KEYSER AVENUE, SUITE 1, SCRANTON, PA 18508
(570) 558-2225
(570) 558-2226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008716
PA
225100000X
Physical Therapist
AJ008700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815091
FPH
PA
01
—
ST1398226
BCBS
PA
Enumeration date
01/30/2007
Last updated
06/19/2008
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