Organization
ERIE SPINE & SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BANISZEWSKI D.C (OWNER)
(814) 602-3833
Entity
Organization
Contact information
Practice address
1009 E 38TH ST, ERIE, PA 16504-1843
(814) 602-3833
Mailing address
1009 E 38TH ST, ERIE, PA 16504-1843
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC011208
PA
Other
Enumeration date
02/22/2017
Last updated
06/20/2017
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