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NPI Code Detail

MEDICARE: DR. DENISE LYNNE DEFRIES D.C.

MEDICARE:  DR. DENISE LYNNE DEFRIES  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
1111N00000XChiropractorDC-003713-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1153029OTHERPAUNITEDHEALTH CARE
2153029OTHERPACAPITAL BLUE CROSS
3153029OTHERPAMAIL HANDLERS
43314201OTHERPAAETNA
53725263OTHERPACIGNA
6153029OTHERPABC/BS - FEP
7008458900OTHERPAKEYSTONE HEALTH PLAN EAST
8153029OTHERPAWPS-TRICARE
9153029OTHERPADEVON HEALTH CARE
10153029OTHERPAGEM
110084589000OTHERPAINDEPENCE BLUE CROSS
12153029OTHERPAHIGHMARK BLUE SHIELD
13153029OTHERPAAMERIHEALTH
14153029OTHERPACORESOURCE

General Provider Information

NPI Number : 1497757983
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE LYNNE DEFRIES D.C.
Provider Business Mailing Address
First Line : 2870 CONCORD RD
Second Line :
City : ASTON
State : PA
Zip : 19014-2946
Country : US
Telephone Number : 484-480-4544
Fax Number : 484-480-4546
Provider Business Practice Location Address
First Line : 2870 CONCORD RD
Second Line :
City : ASTON
State : PA
Zip : 19014-2946
Country : US
Telephone Number : 484-480-4544
Fax Number : 484-480-4546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 03/14/2013

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Directions to “ DR. DENISE LYNNE DEFRIES D.C.” Practice Location

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