Provider Demographics
NPI:1194074773
Name:BEST CHIROPRACTIC SERVICES
Entity type:Organization
Organization Name:BEST CHIROPRACTIC SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-709-5370
Mailing Address - Street 1:274 SUSQUEHANNA AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-2033
Mailing Address - Country:US
Mailing Address - Phone:570-709-5370
Mailing Address - Fax:570-709-5372
Practice Address - Street 1:274 SUSQUEHANNA AVE
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:PA
Practice Address - Zip Code:18644-2033
Practice Address - Country:US
Practice Address - Phone:570-709-5370
Practice Address - Fax:570-709-5372
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERSONAL CHIROPRACTIC AND REHIBILITATION SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-29
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006857L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty