Azure Star Chiropractic PLLC
Chiropractor in Bethlehem, PA. Organization (NPI-2).
NPI number1114602901
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1114602901
- Entity type
- Organization (NPI-2)
- Legal business name
- Azure Star Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
701 W Broad St Ste 211Bethlehem, PA 18018-5229
Phone 484-893-0866
Mailing address
701 W Broad St Ste 211Bethlehem, PA 18018-5229
Phone 484-893-0866
Authorized official
Indrananda Ishaya
Owner
4848930866
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