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NPI Code Detail

MEDICARE: TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.

MEDICARE: TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1538263900
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.
Provider Business Mailing Address
First Line : 990 BEN FRANKLIN HWY E
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-9547
Country : US
Telephone Number : 610-385-1444
Fax Number : 610-385-1441
Provider Business Practice Location Address
First Line : 990 BEN FRANKLIN HWY E
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-9547
Country : US
Telephone Number : 610-385-1444
Fax Number : 610-385-1441
Authorized Official
Title or Position : MANAGER
Name : ERIN GRANT
Credential :
Telephone Number : 610-385-1444
Provider Enumeration Date : 09/07/2006
Last Update Date : 05/05/2014

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