Organization Active NPI

Mbe1

  • Chiropractor
  • Stroudsburg, PA
National Provider Identifier
1174850630
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005908L Issued in GA
Legal business name
MBE1
Practice address
100 Pioneer LN Ste 3
Stroudsburg, PA 18360-8786
Phone
(570) 420-1600
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Brettney R Ramsour, DC
Title
Owner
Phone
(570) 420-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005908L GA Primary

Addresses

Primary practice location

100 Pioneer LN Ste 3
Stroudsburg, PA 18360-8786

Mailing address

100 Pioneer LN Ste 3
Stroudsburg, PA 18360-8786
Phone (570) 420-1600

National Provider Directory

National Provider Directory

Locations

102 Skinner Hill Rd
Stroudsburg, PA 18360
Phone (484) 821-1357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1174850630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PIONEER LN STE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608786",
            "telephone_number": "570-420-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIONEER LN STE 3",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183608786",
            "telephone_number": "570-420-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBE1",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "RAMSOUR",
        "authorized_official_first_name": "BRETTNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-420-1600",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "DC005908L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.