National Provider Identifier Database

ATHERTON BACK NECK CARE CENTER
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ATHERTON BACK & NECK CARE CENTER
1343 N ATHERTON ST
STATE COLLEGE, PA16803-2932
Phone: 814-234-6699
Fax: 814-234-6899
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ATHERTON BACK & NECK CARE CENTER

NPI Number 1528087533
Legal business name
LBN
ATHERTON BACK & NECK CARE CENTER
Authorized official DAVID MIKULA - (PRESIDENT/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC005374L
  • PA Other: 03087900 CAPITAL BLUE CROSS
  • PA Other: MI1346487 HIGHMARK
  • PA Other: MI20627 HIGHMARK
  • PA Other: 993588 KEYSTONE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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