=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023962875
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DSS EXTON CHIROPRACTIC AND WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 151 W LINCOLN HWY
-----------------------------------------------------
City | EXTON
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19341-2615
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-352-4476
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 632 E MAIN ST
-----------------------------------------------------
City | LANSDALE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19446-2964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DUANE H HENRIKSEN
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 215-527-2797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------