Organization
CENTRAL PA SPINAL HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON FULLMER (OWNER)
(717) 233-3476
Entity
Organization
Contact information
Practice address
21 N 4TH ST, HARRISBURG, PA 17101-1822
(717) 233-3476
Mailing address
21 N 4TH ST, HARRISBURG, PA 17101-1822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
009494
PA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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