Bespoke Chiropractic Llc

LBN: Bespoke Chiropractic Llc
Bespoke Chiropractic Llc is an health care organization with primary practice located at 413 High St , Waterford PA 16441-8301. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bespoke Chiropractic Llc can be contacted via phone (814) 796-3535, or through Bowler, Benjamin via phone (814) 796-3535.

Contact Information

Primary practice address
413 High St Waterford PA 16441-8301
Phone: (814) 796-3535
Fax: (814) 796-3535
Website:
Map and Directions
Authorized official contact:
Name: Bowler, Benjamin Doctor of Chiropractic (DC)
Phone: (814) 796-3535

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1558024661
LBN Legal business name Bespoke Chiropractic Llc
DBA Doing business as
Authorized official Bowler, Benjamin Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2021
Last updated Oct 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558024661 NPPES
Pennsylvania Other DC011649 PENNSYLVANIA

Popular Providers