Organization Name: | CHIROPRACTIC SERVICES, P.A. |
NPI Number: | 1982645826 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS A. FASICK (OWNER) |
Mailing Address: | 25 N 3rd St Oxford |
State: | PA US |
Postal Code: | 193631423 |
Phone Number: | 6109329061 |
Fax Number: | 3026558398 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC-004353-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |