Organization
ADVANCED CHIROPRACTIC SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH MARIE CASSIDY D.C. (OWNER/DOCTOR)
(570) 409-9500
Entity
Organization
Contact information
Practice address
113 7TH ST, LUMBERYARD SHOPS, MILFORD, PA 18337-1234
(570) 409-9500
(570) 409-9505
Mailing address
113 7TH ST, LUMBERYARD SHOPS, MILFORD, PA 18337-1234
(570) 409-9500
(570) 409-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC008926
PA
111NN1001X
Nutrition Chiropractor
Primary
DC006974-2
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1775454
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/12/2006
Last updated
05/07/2008
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