Provider Demographics
NPI:1295756807
Name:OSTERBERG CHIROPRACTIC CENTRE, P.C.
Entity type:Organization
Organization Name:OSTERBERG CHIROPRACTIC CENTRE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:OSTERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-244-8504
Mailing Address - Street 1:718 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RED LION
Mailing Address - State:PA
Mailing Address - Zip Code:17356
Mailing Address - Country:US
Mailing Address - Phone:717-244-8504
Mailing Address - Fax:717-244-5401
Practice Address - Street 1:718 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-2605
Practice Address - Country:US
Practice Address - Phone:717-244-8504
Practice Address - Fax:717-244-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty