Healthcare Provider Details

I. General information

NPI: 1154375657
Provider Name (Legal Business Name): KAPLAN CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E GLENSIDE AVE SUITE 5
GLENSIDE PA
19038-4618
US

IV. Provider business mailing address

115 E GLENSIDE AVE SUITE 5
GLENSIDE PA
19038-4618
US

V. Phone/Fax

Practice location:
  • Phone: 215-576-7676
  • Fax: 215-576-7656
Mailing address:
  • Phone: 215-576-7676
  • Fax: 215-576-7656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-003885-L
License Number StatePA

VIII. Authorized Official

Name: ELON KAPLAN
Title or Position: OWNER/DOCTOR/PRESIDENT
Credential: D.C.
Phone: 215-576-7676