Provider Demographics
NPI:1144432139
Name:COMPREHENSIVE CHIROPRACTIC, PC
Entity type:Organization
Organization Name:COMPREHENSIVE CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:STRENCOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-351-8297
Mailing Address - Street 1:2200 W HAMILTON ST
Mailing Address - Street 2:SUITE 215
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6337
Mailing Address - Country:US
Mailing Address - Phone:610-351-8297
Mailing Address - Fax:610-351-8352
Practice Address - Street 1:2200 W HAMILTON ST
Practice Address - Street 2:SUITE 215
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6337
Practice Address - Country:US
Practice Address - Phone:610-351-8297
Practice Address - Fax:610-351-8352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2644995000OtherAMERIHEALTH
PA7284822OtherAETNA
PA2644995000OtherPERSONAL CHOICE
PA50057033OtherKEYSTONE HEALTH PLAN CENT
PA2644995000OtherKEYSTONE BLUE CROSS
PA50057033OtherKEYSTONE HEALTH PLAN EAST
PA2644995000OtherINDEPENDENCE BLUE CROSS
PA1804557OtherHIGHMARK
PA50057033OtherCAPITAL BLUE CROSS
PA2644995000OtherKEYSTONE BLUE CROSS
PA2644995000OtherPERSONAL CHOICE