Chronic Condition Recovery Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AJ006290L Issued in PA

Legal business name

CHRONIC CONDITION RECOVERY CENTER, INC

Practice address

17 Regency PLZ
Glen Mills, PA 19342-1000

Phone

(610) 558-8920

NPI assigned

Jun 4, 2006

Last updated

Jun 30, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric S Balcavage, DCNPI 1326080318

Title

Chiropractor/Owner

Phone

(610) 558-8920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric S Balcavage, DC

  • Chiropractor
  • Glen Mills, PA
  • NPI 1326080318
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1023056454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421000",
            "telephone_number": "610-558-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 REGENCY PLZ",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421000",
            "telephone_number": "610-558-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC CONDITION RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "BALCAVAGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "610-558-8920",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ006290L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0880278000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiana Care Brinton Lake ASC, LLC
• Christiana Care Brinton Lake Endoscopy, LLC
• Christiana Care Pennsylvania Inc (CCHS Gastroenterology PA)
• Christiana Care Pennsylvania Inc
• Christiana Care Pennsylvania Inc (CCHS Pulmonary Practice PA)
• Christopher Clark, OTR/L
• Marichris Lim Clark, O.D.
• Maureen K. Clark, CRNP
• Steven Brad Cohen, M.D.
• Ann W Coia, LPC

• Chiropractor in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.