DR. TABETHA SUPER (NPI# 1972071942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972071942 |
Entity Type | Individual |
Full Name | DR. TABETHA SUPER |
Credential | DC |
Practice Address |
1440 Birch St Reading PA 19604-1840 |
Practice Telephone | 5635145444 |
Mailing Telephone | 5635145444 |
Enumeration Date | 2018-11-08 |
Last Update Date | 2018-11-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC011420 | PA | Chiropractic Providers |
Street Address |
1440 BIRCH ST |
City | READING |
State | PA |
Zip Code | 19604-1840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548514250 | Erin Kathryn Churico | Nurse Practitioner | 1110 Rockland Street, Reading, PA 19604 | 2012-11-01 |
1356525422 | Child and Family Support Services | Community/Behavioral Health | 1455 Marion St., 12th & Marion Elementary School, Reading, PA 19604 | 2007-12-24 |
1275679656 | Leonard Richard Caschera | Chiropractor | 1940 N 13th Street, Suite 230, Reading, PA 19604 | 2007-01-30 |
1780749101 | Juan E Kraljevic | Internal Medicine | 403 N 13th St, Reading, PA 19604 | 2006-12-26 |
1114093952 | Gary Paul Mihal | Chiropractor | 2630 Hampden Blvd, Reading, PA 19604 | 2006-11-24 |
1437269156 | Veronica Jo Labate | Dentist | 1518 North 13th Street, Reading, PA 19604 | 2006-08-30 |
1912934233 | Carol Beitinger | Nurse Anesthetist, Certified Registered | 12th Walnut Streets, Reading, PA 19604 | 2006-06-26 |
1356384994 | Deborah Smart | Nurse Anesthetist, Certified Registered | 12th & Walnut Street, Reading, PA 19604 | 2006-06-13 |
1124590179 | Mfon-abasi Connell-gentle | Dental Hygienist | 1110 Rockland Street, Reading, PA 19604 | 2018-12-31 |
1316144348 | Leonor Maribel Guerra | Counselor | 125 South 5th St, Reading, PA 19604 | 2007-07-02 |
Find all providers in zip 19604 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013263276 | Sean Michael Englehart | Chiropractor | 2611 Hampden Blvd, Apt G, Reading, PA 19604-1010 | 2012-07-25 |
1205159225 | Anthony M Odell Dc PC | Chiropractor | 3227 Perkiomen Ave, Reading, PA 19606-2740 | 2010-03-04 |
1538352117 | Daniel David Sennett | Chiropractor | 19 W Benson St # B, Reading, OH 45215-3268 | 2007-08-27 |
1548464688 | Alpha Chiropractic | Chiropractor | 336 S 6th St, Reading, PA 19602-2404 | 2007-06-13 |
1730382466 | Bruce Clay Gipson | Chiropractor | 2027 Lorraine Rd, Reading, PA 19604-1420 | 2007-06-08 |
1366655649 | Matthews Chiropractic Clinic | Chiropractor | 215 N Kenhorst Blvd, Reading, PA 19607-1535 | 2007-05-07 |
1477765287 | Berks County Orthopedics | Chiropractor | 438 Walnut Street, 2nd Floor, Reading, PA 19601 | 2007-05-04 |
1801918016 | Larry E Behm | Chiropractor | 3961 Perkiomen Ave, Reading, PA 19606-2718 | 2007-04-06 |
1184743577 | Zachary David Fatkin | Chiropractor | 2421 Kutztown Rd, Reading, PA 19605-2957 | 2007-03-28 |
1093831448 | Green Hills Chiropractic, LLC | Chiropractor | 1903 Morgantown Rd # C, Reading, PA 19607-9620 | 2007-03-21 |
Find all providers in READING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.