Provider Demographics
NPI:1730504275
Name:WOROBEY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:WOROBEY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOROBEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-885-9558
Mailing Address - Street 1:320 OLECKNA ST
Mailing Address - Street 2:
Mailing Address - City:THROOP
Mailing Address - State:PA
Mailing Address - Zip Code:18512-3319
Mailing Address - Country:US
Mailing Address - Phone:570-885-9558
Mailing Address - Fax:
Practice Address - Street 1:1429 ELECTRIC ST
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2016
Practice Address - Country:US
Practice Address - Phone:570-885-9558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty