Provider Demographics
NPI:1306999362
Name:LEOLA CHIROPRACTIC LTD
Entity type:Organization
Organization Name:LEOLA CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-656-0032
Mailing Address - Street 1:11 HOLLY DR
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-1211
Mailing Address - Country:US
Mailing Address - Phone:717-656-0032
Mailing Address - Fax:717-656-3019
Practice Address - Street 1:11 HOLLY DR
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1211
Practice Address - Country:US
Practice Address - Phone:717-656-0032
Practice Address - Fax:717-656-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-20
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA602272Medicare PIN