Healthcare Provider Details

I. General information

NPI: 1609841154
Provider Name (Legal Business Name): ARTHUR GEORGE LEGERE III D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

364 W BRIDGE ST
NEW HOPE PA
18938-1431
US

IV. Provider business mailing address

364 W BRIDGE ST
NEW HOPE PA
18938-1431
US

V. Phone/Fax

Practice location:
  • Phone: 215-862-5028
  • Fax: 215-862-5029
Mailing address:
  • Phone: 215-862-5028
  • Fax: 215-862-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC002939-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: