National Provider Identifier Database

ABUNDANT LIFE CHIROPRACTIC
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

ABUNDANT LIFE CHIROPRACTIC
9070 PEACH ST
SUITE #1
WATERFORD, PA16441-4078
Phone: 814-866-1933
Fax: 814-866-1934
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ABUNDANT LIFE CHIROPRACTIC

NPI Number 1619168499
Legal business name
LBN
ABUNDANT LIFE CHIROPRACTIC
Authorized official ANDREW PAMER - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC8650
  • PA Medicaid: 1014200490001

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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