Provider Demographics
NPI:1548886971
Name:PANTALONE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:PANTALONE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PANTALONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-566-2567
Mailing Address - Street 1:267 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-1423
Mailing Address - Country:US
Mailing Address - Phone:717-566-2567
Mailing Address - Fax:717-566-2597
Practice Address - Street 1:267 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-1423
Practice Address - Country:US
Practice Address - Phone:717-566-2567
Practice Address - Fax:717-566-2597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty