MEDICARE: CHIRO CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010355	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0363227000	OTHER	PA	KEYSIDNE HEALTH PLAN EAST
2	082354	OTHER	PA	HIGHMARK/PERSONAL CHOICE

General Provider Information

NPI Number	:	1093726747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIRO CARE PC

Provider Business Mailing Address
First Line	:	364 NEWBURY CT
Second Line	:
City	:	NORTH WALES
State	:	PA
Zip	:	19454-3714
Country	:	US
Telephone Number	:	267-217-7686
Fax Number	:	267-613-8367

Provider Business Practice Location Address
First Line	:	4339 W SWAMP RD
Second Line	:
City	:	DOYLESTOWN
State	:	PA
Zip	:	18902-1039
Country	:	US
Telephone Number	:	267-217-7686
Fax Number	:	267-613-8367

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MATTHEW TISCHLER
Credential	:	DC
Telephone Number	:	267-217-7686

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	02/18/2015

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Directions to “CHIRO CARE PC ” Practice Location

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