Provider Demographics
NPI:1285730341
Name:BREAKTHROUGH CHIROPRACTIC CLINIC, PA
Entity type:Organization
Organization Name:BREAKTHROUGH CHIROPRACTIC CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:RASH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-287-6800
Mailing Address - Street 1:487 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1357
Mailing Address - Country:US
Mailing Address - Phone:828-287-6800
Mailing Address - Fax:828-288-2722
Practice Address - Street 1:487 WEST ST
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1357
Practice Address - Country:US
Practice Address - Phone:828-287-6800
Practice Address - Fax:828-288-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2337876Medicare ID - Type Unspecified