Bennese Family Chiropractic PC
Organization Active NPI Chiropractor · Enola, PA
NPI 1861429490 · NPPES record last updated Oct 4, 2012
Key facts
- NPI
- 1861429490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC008015L (PA)
- Legal business name
- BENNESE FAMILY CHIROPRACTIC PC
- Practice address
- 30 East Shady Lane
Enola, PA 17025 - Phone
- (717) 732-2222
- Fax
- (717) 732-9811
- NPI assigned
- Jun 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael G Bennese
- Title
- President
- Phone
- (717) 732-2222
Practitioners 3
-
Edward Albert Antolick, D.C.
-
Michael Gerard Bennese, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060921000032 | PA | Part B Supplier - Clinic/Group Practice | 6305841669 |
Receives reassigned benefits from 3 practitioners Practice locations: Enola, PA |
National Provider Directory
Locations
30 E Shady Ln
Enola, PA 17025
Phone (717) 732-4911
433 N Enola Rd
Enola, PA 17025
Phone (717) 732-2222
30 E Shady Ln
Ste B
Enola, PA 17025
Phone (717) 732-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC008015L | PA | Yes |
Addresses
Primary practice location
30 East Shady Lane
Enola, PA 17025
Mailing address
30 East Shady Lane
Enola, PA 17025
Phone (717) 732-2222
Other names
- Synchrony Chirocare
Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2012. 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.