Provider Demographics
NPI:1194583039
Name:CP DC CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:CP DC CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PEIFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-292-8965
Mailing Address - Street 1:440 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-2565
Mailing Address - Country:US
Mailing Address - Phone:412-953-3103
Mailing Address - Fax:
Practice Address - Street 1:440 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2565
Practice Address - Country:US
Practice Address - Phone:412-953-3103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty