Provider Demographics
NPI:1043641350
Name:CHIROPRACTIC ASSOCIATES OF LANCASTER INC
Entity type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF LANCASTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAYNE
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:BUSHONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-299-9600
Mailing Address - Street 1:1361 FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4001
Mailing Address - Country:US
Mailing Address - Phone:717-299-9600
Mailing Address - Fax:717-299-4146
Practice Address - Street 1:1361 FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4001
Practice Address - Country:US
Practice Address - Phone:717-299-9600
Practice Address - Fax:717-299-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007214-L111NN0400X
PADC-005889-L111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty