Provider Demographics
NPI:1053964460
Name:MULTI-CARE CLINIC
Entity type:Organization
Organization Name:MULTI-CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-274-8486
Mailing Address - Street 1:301 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COUDERSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16915-1312
Mailing Address - Country:US
Mailing Address - Phone:814-274-8486
Mailing Address - Fax:814-274-7495
Practice Address - Street 1:301 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COUDERSPORT
Practice Address - State:PA
Practice Address - Zip Code:16915-1312
Practice Address - Country:US
Practice Address - Phone:814-274-8486
Practice Address - Fax:814-274-7495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty