Reynoldsville Chiropractic Life Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001679L Issued in PA

Legal business name

REYNOLDSVILLE CHIROPRACTIC LIFE CENTER, LLC

Practice address

105 E Main St
Reynoldsville, PA 15851-1244

Phone

(814) 653-9514

Fax

(814) 653-8842

NPI assigned

Aug 12, 2014

Last updated

May 5, 2020By 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

Randy W McCall, DCNPI 1508852088

Title

Owner

Phone

(814) 653-9514

Specialties & licenses 1

Addresses

Other identifiers 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.

• Randy William McCall, D.C.

  • Chiropractor
  • Reynoldsville, PA
  • NPI 1508852088
  Authorized official Same address or phone

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1891104196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511244",
            "telephone_number": "814-653-9514",
            "fax_number": "814-653-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158511244",
            "telephone_number": "814-653-9514",
            "fax_number": "814-653-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDSVILLE CHIROPRACTIC LIFE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-653-9514",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001679L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891104196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Alexander Marks, RPH
• Randy William McCall, D.C.
• Matthew William Myers, RN
• Andrea Poy, ND
• Reynoldsville Area Ambulance Service Inc
• Janet Satterlee
• Janice A Scott, COTA/L
• Soul Studio Counseling, LLC
• Erica Jean States, LPC
• Wendi Dawn Wenzel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.