Healthcare Provider Details

I. General information

NPI: 1538139118
Provider Name (Legal Business Name): ADAM DAVID SCHREIBER R.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1355 OLD YORK RD
ABINGTON PA
19001-3413
US

IV. Provider business mailing address

320 GLEN WAY
ELKINS PARK PA
19027-1741
US

V. Phone/Fax

Practice location:
  • Phone: 215-275-9705
  • Fax:
Mailing address:
  • Phone: 215-663-0762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK000776
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: