Provider Demographics
NPI:1295054005
Name:FAMILY FIRST CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:FAMILY FIRST CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-919-6399
Mailing Address - Street 1:4400 LINGLESTOWN RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-8507
Mailing Address - Country:US
Mailing Address - Phone:717-919-6399
Mailing Address - Fax:513-277-7433
Practice Address - Street 1:4400 LINGLESTOWN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-8507
Practice Address - Country:US
Practice Address - Phone:717-919-6399
Practice Address - Fax:513-277-7433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1831365287OtherTYPE 1 NPI