Provider Demographics
NPI:1841461852
Name:LEHIGH VALLEY CHIROPRACTIC, PC
Entity type:Organization
Organization Name:LEHIGH VALLEY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENTSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:610-868-6800
Mailing Address - Street 1:5325 NORTHGATE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9416
Mailing Address - Country:US
Mailing Address - Phone:610-868-6800
Mailing Address - Fax:610-868-6806
Practice Address - Street 1:5325 NORTHGATE DR STE 206
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9416
Practice Address - Country:US
Practice Address - Phone:610-868-6800
Practice Address - Fax:610-868-6806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty