Healthsource Chiropractic

LBN: Drd Healthsource Chiropractic Pllc
Healthsource Chiropractic is an health care organization with primary practice located at 90 Erie Canal Dr Suite D, Rochester NY 14626-4610. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Drd Healthsource Chiropractic Pllc can be contacted via phone (585) 225-6430, or through Dudley, Donald R via phone (585) 225-6430.

Contact Information

Primary practice address
90 Erie Canal Dr Suite D Rochester NY 14626-4610
Phone: (585) 225-6430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Donald R DC,CCSP
Phone: (585) 225-6430

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X009170 New York

Profile Details

NPI number 1245479435
LBN Legal business name Drd Healthsource Chiropractic Pllc
DBA Doing business as Healthsource Chiropractic
Authorized official Dudley, Donald R DC,CCSP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2009
Last updated Aug 20th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245479435 NPPES
Other 106032AN PREFERRED CARE
Other P010009170 PREFERRED CARE
Other 647276 PREFERRED CARE
Other 7067356 PREFERRED CARE
Other P020009170 PREFERRED CARE
Other C09170-4 PREFERRED CARE

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