MEDICARE: DUNCAN CHIROPRACTIC WELLNESS AND SPORTS

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	111NS0005X	Sports Physician Chiropractor	DC09173	PA

General Provider Information

NPI Number	:	1538216775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DUNCAN CHIROPRACTIC WELLNESS AND SPORTS

Provider Business Mailing Address
First Line	:	9301 FRANKFORD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1010
Country	:	US
Telephone Number	:	215-331-5954
Fax Number	:	215-331-5134

Provider Business Practice Location Address
First Line	:	9301 FRANKFORD AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1010
Country	:	US
Telephone Number	:	215-331-5954
Fax Number	:	215-331-5134

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. CATHERINE DUNCAN
Credential	:	D.C.
Telephone Number	:	215-331-5954

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	08/22/2020

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