Organization
REYNOLDSVILLE CHIROPRACTIC LIFE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY W MCCALL DC (OWNER)
(814) 653-9514
Entity
Organization
Contact information
Practice address
105 E MAIN ST, REYNOLDSVILLE, PA 15851-1244
(814) 653-9514
(814) 653-8842
Mailing address
105 E MAIN ST, REYNOLDSVILLE, PA 15851-1244
(814) 653-9514
(814) 653-8842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001679L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891104196
NPI
—
Enumeration date
08/12/2014
Last updated
05/05/2020
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