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NPI Code Detail

MEDICARE: ROBERTS FAMILY & SPORTS CHIROPRACTIC

MEDICARE: ROBERTS FAMILY & SPORTS CHIROPRACTIC
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
1111N00000XChiropractorDC008037LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10856152000OTHERPAIBC
22671626OTHERPAAENTA NON HMO
3163629449OTHERDEAMERIHEALTH ADMINISTRATOR
4163629449OTHERNJAMERIHEALTH ADMINISTRATOR
50856152000OTHERPAKEYSTONE HEALTH PLAN EAST
6906443OTHERPAHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1922044825
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERTS FAMILY & SPORTS CHIROPRACTIC
Provider Business Mailing Address
First Line : 8151 RIDGE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2902
Country : US
Telephone Number : 215-487-2500
Fax Number : 215-487-7463
Provider Business Practice Location Address
First Line : 8151 RIDGE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-2902
Country : US
Telephone Number : 215-487-2500
Fax Number : 215-487-7463
Authorized Official
Title or Position : OWNER
Name : DR. LEONARD J ROBERTS
Credential : DC
Telephone Number : 215-487-2500
Provider Enumeration Date : 06/21/2006
Last Update Date : 06/25/2010

Similar Medicare Providers

1588627798 — DR. LEONARD J. ROBERTS DC
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax: 215-487-7463
1801117163 — ROBERTS FAMILY AND SPORTS CHIROPRACTIC
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax: 215-487-7463
1063712396 — NICOLE DEAN RD,LDN,CNSC
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax:
1669775268 — ROBERTS FAMILY SPORTS AND CHIROPRACTIC
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax: 215-487-7463
1053747568 — MS. LAUREN CARVER RD, LDN
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax:
1982149787 — MR. MICHAEL ROBERT KEANE I L.AC., B.PH
Practice Location Address:
8151 RIDGE AVE
PHILADELPHIA, PA
19128-2902
Practice Phone: 215-487-2500
Practice Fax:

Directions to “ROBERTS FAMILY & SPORTS CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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