National Provider Identifier Database

GORMAN CHIROPRACTIC LIFE CENTERS PC
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

GORMAN CHIROPRACTIC LIFE CENTERS PC
21 CRYSTAL STREET
EAST STROUDSBURG, PA18301
Phone: 570-476-4100
Fax: 570-476-7669
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for GORMAN CHIROPRACTIC LIFE CENTERS PC

NPI Number 1568557254
Legal business name
LBN
GORMAN CHIROPRACTIC LIFE CENTERS PC
Authorized official SHARON GORMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/04/2006
Last updated 10/28/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC002838L
  • PA Other: 7710165 AETNA
  • PA Other: 813927 FIRST PRIORITY

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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