MEDICARE: TATIANA ADEJARE D.C.

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	DC012112	PA

General Provider Information

NPI Number	:	1215881792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA ADEJARE D.C.

Provider Business Mailing Address
First Line	:	900 N 9TH ST APT 708
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-1231
Country	:	US
Telephone Number	:	225-505-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	5429 CHESTNUT ST STE G19
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3325
Country	:	US
Telephone Number	:	888-245-8488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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