Boyer Chiropractic and Wellness Center PC
Organization Active NPI Chiropractor · Elderton, PA
NPI 1780116335 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1780116335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009067 (PA)
- Legal business name
- BOYER CHIROPRACTIC AND WELLNESS CENTER PC
- Practice address
- 215 South Lytle Street
Elderton, PA 15736-0236 - Phone
- (724) 354-2617
- Fax
- (724) 354-2703
- NPI assigned
- Apr 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Jamie Boyer, DC
- Title
- Owner/President
- Phone
- (724) 354-2617
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170413001079 | PA | Part B Supplier - Clinic/Group Practice | 0042596694 |
Receives reassigned benefits from 1 practitioner Practice locations: Elderton, PA; Indiana, PA |
National Provider Directory
Locations
706 Philadelphia St
Indiana, PA 15701
Phone (724) 357-9323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC009067 | PA | Yes |
Addresses
Primary practice location
215 South Lytle Street
Elderton, PA 15736-0236
Mailing address
PO Box 236
Elderton, PA 15736-0236
Phone (724) 354-2617
Other providers in Elderton, PA
- Armstrong County Memorial Hospital
- Jamie Robert Boyer
- Joseph A Cippel
- William Joseph Fetchko
- Heidi Simmons Fleming
- Michele Ann Oleksak
All providers in Elderton, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.