Provider Demographics
NPI:1154532240
Name:RATHFON FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:RATHFON FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:RATHFON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-779-4334
Mailing Address - Street 1:730 PARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6312
Mailing Address - Country:US
Mailing Address - Phone:724-779-4334
Mailing Address - Fax:724-779-4399
Practice Address - Street 1:730 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6312
Practice Address - Country:US
Practice Address - Phone:724-779-4334
Practice Address - Fax:724-779-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty