Bloomin Health Chiropractic Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010201 Issued in PA

Legal business name

BLOOMIN HEALTH CHIROPRACTIC CLINIC LLC

Practice address

214 Center St
Bloomsburg, PA 17815-1752

Phone

(570) 204-9302

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hans Werner Bottesch II, D.C.

Title

Co-Owner, Chiropractor

Phone

(570) 594-9693

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1265750046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PEACOCK CORNERS RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157202",
            "telephone_number": "570-594-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CENTER ST",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178151752",
            "telephone_number": "570-204-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMIN HEALTH CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "BOTTESCH",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "WERNER",
        "authorized_official_title_or_position": "CO-OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "570-594-9693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bloomsburg Family Chiropractic, PLLC

• Chiropractor in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.