Organization
CAPITAL CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M REMILLARD DC (OWNER)
(717) 558-9292
Entity
Organization
Contact information
Practice address
4079 DERRY ST, HARRISBURG, PA 17111-2347
(717) 558-9292
(717) 558-2006
Mailing address
4079 DERRY ST, HARRISBURG, PA 17111-2347
(717) 558-9292
(717) 558-2006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007090L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE000955
MEDICARE
PA
Enumeration date
04/09/2008
Last updated
04/18/2008
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