Organization
ENDLESS MOUNTAINS CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M CIAVOLA DC (PRESIDENT)
(570) 222-9330
Entity
Organization
Contact information
Practice address
17382 STATE RTE 11, JOINES BLDG, SUITE 2, NEW MILFORD, PA 18834
(570) 465-9330
(570) 465-9331
Mailing address
PO BOX 702, NEW MILFORD, PA 18834
(570) 465-9330
(570) 465-9331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3194
NC
111N00000X
Chiropractor
Primary
DC009466
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829262
BLUE CROSS
PA
Enumeration date
07/09/2006
Last updated
06/29/2010
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