Provider Demographics
NPI:1063824910
Name:LUMINOUS CHIROPRACTIC, P.C
Entity type:Organization
Organization Name:LUMINOUS CHIROPRACTIC, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:D'ARCY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-468-2115
Mailing Address - Street 1:50 N FRONT ST
Mailing Address - Street 2:APT 404
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-2221
Mailing Address - Country:US
Mailing Address - Phone:609-468-2115
Mailing Address - Fax:
Practice Address - Street 1:50 N FRONT ST
Practice Address - Street 2:APT 404
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-2221
Practice Address - Country:US
Practice Address - Phone:609-468-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty