MEDICARE: NORTHEAST CHIROPRACTIC ASSOCIATES, P.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	DC-002985-L	PA

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	:	1225041411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST CHIROPRACTIC ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	10101 ACADEMY RD
Second Line	:	SUITE 102
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1120
Country	:	US
Telephone Number	:	215-824-1000
Fax Number	:	215-824-4460

Provider Business Practice Location Address
First Line	:	10101 ACADEMY RD
Second Line	:	SUITE 102
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-1120
Country	:	US
Telephone Number	:	215-824-1000
Fax Number	:	215-824-4460

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMIL M ZAID
Credential	:	D.C.
Telephone Number	:	215-824-1000

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	04/02/2015

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Directions to “NORTHEAST CHIROPRACTIC ASSOCIATES, P.C. ” Practice Location

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