CENTRE CHIROPRACTIC PC (NPI# 1386962025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962025 |
| Entity Type | Organization |
| Organization Name | CENTRE CHIROPRACTIC PC |
| Practice Address |
128 Boal Ave Boalsburg PA 16827-1442 |
| Mailing Address |
128 Boal Ave P.o. Box 680 Boalsburg PA 16827-1442 |
| Practice Telephone | 8144662000 |
| Practice Fax Number | 8144662228 |
| Mailing Telephone | 8144662000 |
| Mailing Fax Number | 8144662228 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | DR. MATTHEW DEAN HERTERT (OWNER) |
| Authorized Official Telephone | 8144662000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC009586 | PA | Chiropractic Providers |
| Street Address |
128 BOAL AVE |
| City | BOALSBURG |
| State | PA |
| Zip Code | 16827-1442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842763 | Amanda Dawn Woodle Stewart | Pharmacist | 110 Rolling Ridge Drive, Boalsburg, PA 16827 | 2018-12-16 |
| 1285922500 | Schmidt Chiropractic | Chiropractor | 128 D East Boal Avenue, Boalsburg, PA 16827 | 2011-07-20 |
| 1699763060 | Harvey P Hanlen | Optometrist | 104 W. Main St., Boalsburg, PA 16827 | 2005-10-11 |
| 1174707194 | Debbie Ann Stachowski | Specialist | 101 West Main St, Boalsburg, PA 16827 | 2007-12-27 |
| 1578723532 | Dennis Michael Sopka | Radiology | 1020a East Boal Avenue, Boalsburg, PA 16827-0530 | 2008-06-13 |
| 1346273208 | David J Durkin | Anesthesiology | 180 Liberty St, Boalsburg, PA 16827-1031 | 2006-07-07 |
| 1023512043 | Nicole Pautz | Occupational Therapy Assistant | 121 Creek Hollow Rd, Boalsburg, PA 16827-1100 | 2018-03-23 |
| 1063468056 | Donna Ann Kellogg | Specialist/Technologist | 901 Boalsburg Pike, Boalsburg, PA 16827-1139 | 2006-05-25 |
| 1265085211 | Hannah Sultan Hills | Speech-Language Pathologist | 194 Derek Dr, Boalsburg, PA 16827-1153 | 2019-07-18 |
| 1891705752 | Karen Lee Tempest | Nurse Practitioner | 328 Belle Ave, Boalsburg, PA 16827-1211 | 2006-08-09 |
| Find all providers in zip 16827 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073863601 | Andrew Walker | Chiropractor | 111 Boal Ave, Boalsburg, PA 16827-1444 | 2012-09-11 |
| 1285922500 | Schmidt Chiropractic | Chiropractor | 128 D East Boal Avenue, Boalsburg, PA 16827 | 2011-07-20 |
| 1043253503 | Matthew Dean Hertert | Chiropractor | 128 E Boal Ave, Boalsburg, PA 16827-1442 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609171 | Richard Mark Schoonmaker Jr. | Chiropractor | 161 Dowlin Forge Rd, Exton, PA 19341-1550 | 2020-11-04 |
| 1568062198 | Chandler Carey | Chiropractor | 737 Good Rd, Airville, PA 17302-9467 | 2020-11-01 |
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1467051094 | Orne K. Bey Jr. | Chiropractor | 1525 Park Manor Blvd # 273, Pittsburgh, PA 15205-4805 | 2020-10-24 |
| 1285232421 | Hevner Chiropractic Center, LLC | Chiropractor | 79 E Main St Ste 205, Lititz, PA 17543-1941 | 2020-10-10 |
| 1063029718 | Power Forward Chiropractic LLC | Chiropractor | 138 W Whitehall Rd, State College, PA 16801-5931 | 2020-09-27 |
| 1043826266 | Optimal Health and Performance | Chiropractor | 7039 W Chester Pike, Upper Darby, PA 19082-1705 | 2020-09-22 |
| 1396351698 | Comforting Hands Chiropractic LLC | Chiropractor | 1151 Cornwall Rd Ste 5, Lebanon, PA 17042-7233 | 2020-09-22 |
| 1790396398 | Comunale Chiropractic LLC | Chiropractor | 14 Mount Bethel Plz, Mount Bethel, PA 18343-5212 | 2020-08-17 |
| 1780292755 | Physicians Medical Weight Loss, LLC | Chiropractor | 163 N Commerce Way, Bethlehem, PA 18017-8933 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.