Organization
KRISIAK CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY A. KRISIAK D.C. (OWNER)
(570) 876-4500
Entity
Organization
Contact information
Practice address
200 BETTY ST, EYNON, PA 18403-1258
(570) 876-4500
(570) 876-4555
Mailing address
200 BETTY ST, EYNON, PA 18403-1258
(570) 876-4500
(570) 876-4555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023367270001
—
PA
Enumeration date
05/05/2011
Last updated
05/05/2011
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