Provider Demographics
NPI:1154621167
Name:MITCHELL FAMILLY CHIROPRACTIC L.L.C
Entity type:Organization
Organization Name:MITCHELL FAMILLY CHIROPRACTIC L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-854-5222
Mailing Address - Street 1:2159 WHITE ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-4943
Mailing Address - Country:US
Mailing Address - Phone:717-854-5222
Mailing Address - Fax:717-854-5494
Practice Address - Street 1:2159 WHITE ST
Practice Address - Street 2:SUITE 8
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-4943
Practice Address - Country:US
Practice Address - Phone:717-854-5222
Practice Address - Fax:717-854-5494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007566L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty