MEDICARE: ADVANCED CHIROPRACTIC, LLC

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

General Provider Information

NPI Number	:	1801726880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	131 BECKS WOODS DR
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-3833
Country	:	US
Telephone Number	:	302-287-8965
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 BECKS WOODS DR
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-3833
Country	:	US
Telephone Number	:	302-287-8965
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DANIEL SPECIALE JR.
Credential	:
Telephone Number	:	302-287-8965

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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