MEDICARE: PARKWOOD FAMILY CHIROPRACTIC, INC.

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	DC5069L	PA

General Provider Information

NPI Number	:	1770740599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKWOOD FAMILY CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	225 SAXONY DR
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-1685
Country	:	US
Telephone Number	:	215-338-5010
Fax Number	:	215-673-1980

Provider Business Practice Location Address
First Line	:	9331 OLD BUSTLETON AVE
Second Line	:	SUITE 101
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-4204
Country	:	US
Telephone Number	:	215-338-5010
Fax Number	:	215-673-1980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN S. FREEMAN
Credential	:	DC
Telephone Number	:	215-338-5010

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	02/29/2012

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