MEDICARE: AMERICAN CLINIC OF CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043397037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN CLINIC OF CHIROPRACTIC

Provider Business Mailing Address
First Line	:	PO BOX 115
Second Line	:
City	:	FOLSOM
State	:	PA
Zip	:	19033-0115
Country	:	US
Telephone Number	:	267-582-0056
Fax Number	:	610-490-3904

Provider Business Practice Location Address
First Line	:	1 E BEACON LIGHT LN
Second Line	:
City	:	CHESTER
State	:	PA
Zip	:	19013-4433
Country	:	US
Telephone Number	:	267-582-0056
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	CHARLES J GRIM
Credential	:
Telephone Number	:	267-582-0056

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/07/2023

Similar Medicare Providers

1386670966 — COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC
Practice Location Address:

1 E BEACON LIGHT LN STE B
CHESTER, PA
19013-4433

Practice Phone: 610-859-9270
Practice Fax:

1538145503 — MED-EQUIP, INC.
Practice Location Address:

1 E BEACON LIGHT LN STE A
CHESTER, PA
19013-4433

Practice Phone: 215-282-7538
Practice Fax:

1285654129 — BONNER PHYSIATRY ASSOCIATES
Practice Location Address:

1 E BEACON LIGHT LN
CHESTER, PA
19013-4433

Practice Phone: 610-490-3900
Practice Fax: 610-490-3904

1427118306 — MR. WILLIAM NEAL MILLER PT
Practice Location Address:

1 EAST BEACON LIGHT LANE , SUITE B
CHESTER, PA
19013-4433

Practice Phone: 610-490-3900
Practice Fax: 610-490-3912

1295907988 — JOAN MARIE FORMIGLIA P.A.
Practice Location Address:

1 E BEACON LIGHT LN
CHESTER, PA
19013-4433

Practice Phone: 610-490-3900
Practice Fax: 610-490-3904

1619142353 — PHYSICAL THERAPY PHYSICIANS PC
Practice Location Address:

1 E BEACON LIGHT LN
CHESTER, PA
19013-4433

Practice Phone: 610-532-2633
Practice Fax:

Directions to “AMERICAN CLINIC OF CHIROPRACTIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.