MEDICARE: AZZATORI CHIROPRACTIC OF WILLOW GROVE

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	DC010543	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1527055	OTHER	PA	BC/BS ASSIGNMENT ACCT #
2	2216547000	OTHER	PA	KEYSTONE PROV #

General Provider Information

NPI Number	:	1205880416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZZATORI CHIROPRACTIC OF WILLOW GROVE

Provider Business Mailing Address
First Line	:	612 FITZWATERTOWN RD
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1904
Country	:	US
Telephone Number	:	215-830-6800
Fax Number	:	215-830-9712

Provider Business Practice Location Address
First Line	:	612 FITZWATERTOWN RD
Second Line	:
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-1904
Country	:	US
Telephone Number	:	215-830-6800
Fax Number	:	215-830-9712

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. JENNIFER L YERKES
Credential	:
Telephone Number	:	215-538-2266

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	01/18/2012

Similar Medicare Providers

1821090671 — JEFFREY S. ZWERLING D.C.
Practice Location Address:

612 FITZWATERTOWN RD , 1ST FLOOR
WILLOW GROVE, PA
19090-1904

Practice Phone: 215-830-6800
Practice Fax: 215-830-9712

1164814059 — WILLOW GROVE GET WELL
Practice Location Address:

612 FITZWATERTOWN RD
WILLOW GROVE, PA
19090-1904

Practice Phone: 215-366-7363
Practice Fax: 215-366-7393

1669943213 — DEBORAH PELBERG MA LMFT
Practice Location Address:

640 FITZWATERTOWN RD # A1
WILLOW GROVE, PA
19090-1904

Practice Phone: 267-861-3685
Practice Fax:

1619229010 — DENTISTRY TODAY
Practice Location Address:

412 E WILLOW ST
SCOTTSBORO, AL
35768-1904

Practice Phone: 256-574-3993
Practice Fax:

1124424858 — CATHERINE DANIELS SPARKMAN MS, LMHC, LPC
Practice Location Address:

1904 MIDDLE RIDGE DR
WILLOW SPRING, NC
27592-6821

Practice Phone: 850-459-0667
Practice Fax:

1184574998 — ARROW THERAPY CO. PLLC
Practice Location Address:

893 N 900 E
PLEASANT GROVE, UT
84062-1904

Practice Phone: 801-822-7699
Practice Fax:

Directions to “AZZATORI CHIROPRACTIC OF WILLOW GROVE ” 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.