Millennium Chiropractic Center Pc in Phila - Chiropractor
Millennium Chiropractic Center Pc - NPI 1356480404
Millennium Chiropractic Center Pc is a Chiropractor in Phila, Pennsylvania. Millennium Chiropractic Center Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Millennium Chiropractic Center Pc is 1356480404. The last update date is 2010-08-04.
Millennium Chiropractic Center Pc's current location address is 1619 Grant Ave, Phila, Pennsylvania. You can contact this provider via phone number 2159345401 and fax number 2159345452. The mailing address for Millennium Chiropractic Center Pc is 1619 Grant Ave, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Millennium Chiropractic Center Pc |
|---|---|
| Address | 1619 Grant Ave, Phila, Pennsylvania |
| Phone Number | 2159345401 |
| Fax Number | 2159345452 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Grossman M Fern |
| Credentials | DC |
| Telephone Number | 2159345401 |
NPI Number Detail
| NPI Number | 1356480404 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 1619 Grant Ave |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 19115 |
| Phone Number | 2159345401 |
| Fax Number | 2159345452 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC006309L |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2053318000 | IBC | ||
| MI1361038 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the Millennium Chiropractic Center Pc's 1356480404?
The Millennium Chiropractic Center Pc's NPI (National Provider Identifier) Number is 1356480404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Millennium Chiropractic Center Pc is geographically located?
The Millennium Chiropractic Center Pc is physically situated at the following location: 1619 Grant Ave, Phila, PA, 19115.
What is Millennium Chiropractic Center Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Millennium Chiropractic Center Pc is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When was the Millennium Chiropractic Center Pc's 1356480404 issued?
The Millennium Chiropractic Center Pc's 1356480404 was issued on 2007-02-05.
As of what date were the details related to Millennium Chiropractic Center Pc most recently updated or revised?
The information pertaining to Millennium Chiropractic Center Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-04.