Organization
CHIROPRACTIC 1ST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PETER MULLINS DC (CHIROPRACTOR)
(717) 569-5075
Entity
Organization
Contact information
Practice address
245 BLOOMFIELD DRIVE, SUITE 201, LITITZ, PA 17543-7789
(717) 569-5075
(717) 569-5030
Mailing address
245 BLOOMFIELD DRIVE, SUITE 201, LITITZ, PA 17543-7789
(717) 569-5075
(717) 569-5030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001471947
HIGHMARK PROVIDER NUMBER
PA
01
—
264884
HEALTHASSURANCE PROVIDER
PA
01
—
3741100
AETNA PROVIDER NUMBER
PA
Enumeration date
05/27/2006
Last updated
05/11/2015
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