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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ATHERTON BACK & NECK CARE CENTER

NPI Number 1528087533
LBN Legal business name ATHERTON BACK & NECK CARE CENTER
Authorized official DAVID MIKULA - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # DC005374L
PA Other 03087900 CAPITAL BLUE CROSS
PA Other MI1346487 HIGHMARK
PA Other MI20627 HIGHMARK
PA Other 993588 KEYSTONE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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