Provider Demographics
NPI:1902974199
Name:ADELPHIA CHIROPRACTIC HEALTH CENTER, P.C.
Entity Type:Organization
Organization Name:ADELPHIA CHIROPRACTIC HEALTH CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:HATZAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-253-2225
Mailing Address - Street 1:1306 KNOX AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-8323
Mailing Address - Country:US
Mailing Address - Phone:610-253-2225
Mailing Address - Fax:610-253-6687
Practice Address - Street 1:1306 KNOX AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18040-8323
Practice Address - Country:US
Practice Address - Phone:610-253-2225
Practice Address - Fax:610-253-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHA836430Medicare ID - Type Unspecified
PAHA793376Medicare ID - Type Unspecified