Organization
ALTOONA CHIROPRACTIC LIFE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY JOSEPH FYE JR. D.C. (PRESIDENT)
(814) 946-0279
Entity
Organization
Contact information
Practice address
1405 EAST WALTON AVENUE, ALTOONA, PA 16602
(814) 946-0279
(814) 946-9039
Mailing address
1405 EAST WALTON AVENUE, ALTOONA, PA 16602
(814) 946-0279
(814) 946-9039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001390-L
PA
111N00000X
Chiropractor
DC009194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006347810001
—
PA
05
—
1009207200001
—
PA
Enumeration date
11/08/2006
Last updated
08/22/2020
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