Provider Demographics
NPI:1306069091
Name:NATURALCARE CENTERS, INC.
Entity type:Organization
Organization Name:NATURALCARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:GONGAWARE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-316-0717
Mailing Address - Street 1:555 LINCOLN AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3549
Mailing Address - Country:US
Mailing Address - Phone:412-766-1650
Mailing Address - Fax:
Practice Address - Street 1:555 LINCOLN AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BELLEVUE
Practice Address - State:PA
Practice Address - Zip Code:15202-3549
Practice Address - Country:US
Practice Address - Phone:412-766-1650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006022111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty