=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871548727
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORSHAM CHIROPRACTIC PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2006
-----------------------------------------------------
Last Update Date | 10/12/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 406 NORRISTOWN RD
-----------------------------------------------------
City | HORSHAM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19044-1250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-443-8585
-----------------------------------------------------
Fax | 215-443-8129
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 406 NORRISTOWN RD
-----------------------------------------------------
City | HORSHAM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19044-1250
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-443-8585
-----------------------------------------------------
Fax | 215-443-8129
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOHN G KRAMER
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 215-443-8585
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC-002690-L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------