Provider Demographics
NPI:1104912187
Name:FALK CHIROPRACTIC CENTER PA
Entity type:Organization
Organization Name:FALK CHIROPRACTIC CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:J
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:410-486-4045
Mailing Address - Street 1:3 GREENWOOD PLACE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-486-4045
Mailing Address - Fax:410-486-4047
Practice Address - Street 1:3 GREENWOOD PLACE
Practice Address - Street 2:SUITE 108
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-486-4045
Practice Address - Fax:410-486-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1170PT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT0010001OtherCF BCBS
MD31090001OtherCF BCBS
MDT0010001OtherCF BCBS
MDM241Medicare PIN