Provider Demographics
NPI:1255983532
Name:GHESSI CHIROPRACTIC LLC
Entity type:Organization
Organization Name:GHESSI CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHESSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-793-2821
Mailing Address - Street 1:12 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLEETWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19522-1315
Mailing Address - Country:US
Mailing Address - Phone:484-793-2821
Mailing Address - Fax:484-575-8748
Practice Address - Street 1:12 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:PA
Practice Address - Zip Code:19522-1315
Practice Address - Country:US
Practice Address - Phone:484-793-2821
Practice Address - Fax:484-575-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center