Provider Demographics
NPI:1316077803
Name:STRASISER CHIROPRACTIC, INC
Entity type:Organization
Organization Name:STRASISER CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-479-2561
Mailing Address - Street 1:3371 SEANOR RD
Mailing Address - Street 2:
Mailing Address - City:HOLLSOPPLE
Mailing Address - State:PA
Mailing Address - Zip Code:15935-8606
Mailing Address - Country:US
Mailing Address - Phone:814-479-2561
Mailing Address - Fax:814-479-2935
Practice Address - Street 1:3371 SEANOR RD
Practice Address - Street 2:
Practice Address - City:HOLLSOPPLE
Practice Address - State:PA
Practice Address - Zip Code:15935-8606
Practice Address - Country:US
Practice Address - Phone:814-479-2561
Practice Address - Fax:814-479-2935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004249-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1516495OtherTHE FUNDS UMWA
1017902OtherAMERICAN SPECIALTY HEALTH
PA001417077OtherHIGHMARK
PA337749OtherHEALTHASSURANCE
PA103005OtherUPMC
PA0012245900004Medicaid
PA337749OtherHEALTHASSURANCE