Provider Demographics
NPI:1700803673
Name:FAMILY CHIROPRACTIC HEALTHCARE LLC
Entity type:Organization
Organization Name:FAMILY CHIROPRACTIC HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHALER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-836-0282
Mailing Address - Street 1:212 E PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3328
Mailing Address - Country:US
Mailing Address - Phone:724-836-0282
Mailing Address - Fax:724-838-7200
Practice Address - Street 1:212 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3328
Practice Address - Country:US
Practice Address - Phone:724-836-0282
Practice Address - Fax:724-838-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001780030OtherHIGHMARK
PA101603343Medicaid