1. Home
  2. Directory
  3. Pennsylvania
  4. Harrisburg
  5. Chiropractor
  6. NPI Profile

STRUCTURAL DISORDERS OF THE SPINE
NPI 1902853070
Chiropractor in Harrisburg, PA

Active since May 27, 2006
21 NORTH 4TH STREET, HARRISBURG, PA 17101(717) 233-3476(717) 796-2409 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Structural Disorders Of The Spine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STRUCTURAL DISORDERS OF THE SPINE (NPI 1902853070) is a healthcare organization registered as a chiropractor in Harrisburg, Pennsylvania and active in the NPI registry since May 2006. The organization lists Jason Michael Fullmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1902853070
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSTRUCTURAL DISORDERS OF THE SPINE
Location Address21 NORTH 4TH STREETHarrisburg, PA 17101
Mailing Address21 North 4th StreetHarrisburg, PA 17101 · (717) 233-3476 · Fax (717) 796-2409
Phone(717) 233-3476
Fax(717) 796-2409
Organization SubpartNo
Authorized OfficialJason Michael FullmerOwner · (717) 460-3422
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902853070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · 009494
Definition
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.
21 NORTH 4TH STREET, Harrisburg, PA 17101
Open in Google Maps ↗

Other Identifiers 2

Other50058252PA · Capital Blue Cross
OtherFU1813015PA · Highmark

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JASON MICHAEL FULLMER DC
Chiropractor
21 NORTH 4TH STREET
HARRISBURG, PA 17101
Dauphin County (717) 233-3476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Structural Disorders Of The Spine's NPI number?

The NPI number for Structural Disorders Of The Spine is 1902853070. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Structural Disorders Of The Spine located?

Structural Disorders Of The Spine is located at 21 North 4th Street, Harrisburg, PA 17101. The listed phone number is (717) 233-3476.

What is Structural Disorders Of The Spine's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Structural Disorders Of The Spine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.