MEDICARE: CAMAC CHIROPRACTIC AND WELLNESS CENTER L.L.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
1	111N00000X	Chiropractor	DC007573L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2295674000	OTHER	PA	BLUE CROSS HMO GROUP
2	0662915000	OTHER	PA	BLUE CROSS INDIVIDUAL HMO
3	7472242	OTHER	PA	AETNA PPO

General Provider Information

NPI Number	:	1730239260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMAC CHIROPRACTIC AND WELLNESS CENTER L.L.C.

Provider Business Mailing Address
First Line	:	1214 MOORE ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19148-1516
Country	:	US
Telephone Number	:	215-271-0318
Fax Number	:	215-271-0319

Provider Business Practice Location Address
First Line	:	1214 MOORE ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19148-1516
Country	:	US
Telephone Number	:	215-271-0318
Fax Number	:	215-271-0319

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. PAUL LOUIS SBARRA
Credential	:	D.C.
Telephone Number	:	215-271-0318

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1205901303 — DR. PAUL LOUIS SBARRA D.C.
Practice Location Address:

1214 MOORE ST
PHILADELPHIA, PA
19148-1516

Practice Phone: 215-271-0318
Practice Fax: 215-271-0319

1700887429 — MICHAEL A DELUCA PT
Practice Location Address:

2101 S COLUMBUS BLVD
PHILA, PA
19148-2805

Practice Phone: 215-467-4431
Practice Fax: 215-467-8879

1962404897 — BARRY ALAN BRAVETTE MD
Practice Location Address:

1703 S BROAD ST , SUITE 300
PHILA, PA
19148-1536

Practice Phone: 215-463-5333
Practice Fax: 215-463-8085

1922000868 — SALVATORE P GIRARDO MD
Practice Location Address:

1703 S BROAD ST , SUITE 300
PHILA, PA
19148-1536

Practice Phone: 215-463-5333
Practice Fax: 215-463-8085

1215939178 — WILLIAM BECKWITH MD
Practice Location Address:

1703 S BROAD ST , STE 300
PHILA, PA
19148-1536

Practice Phone: 215-462-7100
Practice Fax: 215-463-3820

1619947553 — VERONICA A COVALESKY MD
Practice Location Address:

1703 S BROAD ST , SUITE 300
PHILA, PA
19148

Practice Phone: 215-463-5333
Practice Fax: 215-463-8085

Directions to “CAMAC CHIROPRACTIC AND WELLNESS CENTER L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.