Heritage Chiropractic Inc

LBN: Heritage Chiropractic Inc
Heritage Chiropractic Inc is an health care organization with primary practice located at 18 N Park Row , Waterford PA 16441-8308. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Heritage Chiropractic Inc can be contacted via phone (814) 796-0077, or through Pavkov, Luke T via phone (814) 796-0077.

Contact Information

Primary practice address
18 N Park Row Waterford PA 16441-8308
Phone: (814) 796-0077
Fax: (814) 796-1717
Website:
Map and Directions
Authorized official contact:
Name: Pavkov, Luke T Doctor of Chiropractic (DC)
Phone: (814) 796-0077

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1487989786
LBN Legal business name Heritage Chiropractic Inc
DBA Doing business as
Authorized official Pavkov, Luke T Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2009
Last updated Oct 5th, 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 1487989786 NPPES
Pennsylvania MEDICAID 1019619510001

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