Bloomsburg Family Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC010806 Issued in PA

Legal business name

BLOOMSBURG FAMILY CHIROPRACTIC, PLLC

Practice address

1000 Market St
Suite 1
Bloomsburg, PA 17815-2600

Phone

(570) 784-2282

Fax

(570) 784-2332

NPI assigned

Sep 8, 2016

Last updated

Jan 18, 2017By 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

Dr. Elizabeth Ardo, DCNPI 1750712253

Title

Chiropractor

Phone

(570) 784-2282

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 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.

• Elizabeth Ardo, DC

  • Chiropractor
  • Bloomsburg, PA
  • NPI 1750712253
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1710434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178150036",
            "telephone_number": "570-784-2282",
            "fax_number": "570-784-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MARKET ST",
            "address_2": "SUITE 1",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178152600",
            "telephone_number": "570-784-2282",
            "fax_number": "570-784-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMSBURG FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ARDO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "570-784-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "DC010806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomin Health Chiropractic Clinic LLC
• Bloomsburg Area School District
• Bloomsburg Care and Rehabilitation Center, LLC (Bloomsburg Care and Rehabilitation Center)
• Bloomsburg Caregivers, LLC.
• Bloomsburg Emergency Physicians, LLC
• Bloomsburg Health Services Inc.
• Bloomsburg Physician Services
• Bloomsburg Physician Services
• Bloomsburg Physician Services (Family Care Associates)
• Bloomsburg Physicians Services

• 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 Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.