Healthcare Provider Details

I. General information

NPI: 1366402802
Provider Name (Legal Business Name): LENNY FINKEL D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 PENNELL RD
ASTON PA
19014-1863
US

IV. Provider business mailing address

4610 PENNELL RD
ASTON PA
19014-1863
US

V. Phone/Fax

Practice location:
  • Phone: 610-497-3722
  • Fax: 610-497-3750
Mailing address:
  • Phone: 610-497-3722
  • Fax: 610-497-3750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC004071L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: