Charis Lindrooth, D.C.

Individual provider Active NPI Chiropractor · Kutztown, PA

NPI 1457562647 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457562647
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC5718L (PA)
Practice address
15525 Kutztown Rd
Kutztown, PA 19530-9303
Phone
(610) 683-9363
Fax
(610) 683-5431
NPI assigned
May 27, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DC5718LPAMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5718L PA Yes

Addresses

Primary practice location

15525 Kutztown Rd
Kutztown, PA 19530-9303

Mailing address

15525 Kutztown Rd
Kutztown, PA 19530-9303
Phone (610) 683-9363

Other identifiers

IdentifierTypeStateIssuer
532260OtherPAHIGHMARK BLUE SHIELD
0806015000OtherPAPERSONAL CHOICE
3145600OtherPACAPITAL BC

Other providers in Kutztown, PA

All providers in Kutztown, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.