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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ABUNDANT LIFE CHIROPRACTIC

NPI Number 1619168499
LBN Legal business name ABUNDANT LIFE CHIROPRACTIC
Authorized official ANDREW PAMER - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 08/06/2007 - About 19 years ago
Identifiers
PA License # DC8650
PA Medicaid 1014200490001
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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