Organization
ELITE CHIROPRACTIC AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN JACKSON RAISHART D.C. (CHIROPRACTOR)
(724) 687-7011
Entity
Organization
Contact information
Practice address
100 SCHOOL STREET, MARS, PA 16046
(724) 687-7011
(724) 687-7012
Mailing address
PO BOX 936, MARS, PA 16046-0936
(724) 687-7011
(724) 687-7012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000171984
UNISON
PA
05
—
0018874400001
—
PA
01
—
3653462
CIGNA
PA
01
—
RA623901
BCBS
PA
Enumeration date
03/27/2013
Last updated
03/27/2013
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