Provider Demographics
NPI:1497913990
Name:BENDER CHIROPRACTIC CENTER PA
Entity type:Organization
Organization Name:BENDER CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:HORTON-BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-559-7881
Mailing Address - Street 1:321 INDIAN ROCKS RD N
Mailing Address - Street 2:SUITE C
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2000
Mailing Address - Country:US
Mailing Address - Phone:727-559-7881
Mailing Address - Fax:727-559-7981
Practice Address - Street 1:321 INDIAN ROCKS RD N
Practice Address - Street 2:SUITE C
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-2000
Practice Address - Country:US
Practice Address - Phone:727-559-7881
Practice Address - Fax:727-559-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty