Healthcare Provider Details
I. General information
NPI: 1780864165
Provider Name (Legal Business Name): GALEOTTI FAMILY CHIROPRACTIC CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2007
Last Update Date: 03/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1003 A EGYPT ROAD
OAKS PA
19456
US
IV. Provider business mailing address
1003A EGYPT ROAD
OAKS PA
19456
US
V. Phone/Fax
- Phone: 610-935-3066
- Fax: 610-935-3067
- Phone: 610-935-3066
- Fax: 610-935-3067
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC0087L |
| License Number State | PA |
VIII. Authorized Official
Name:
CHRISTOPHER
J
GALEOTTI
Title or Position: OWNER
Credential: DC
Phone: 610-935-3066