Edward Kanner is a Chiropractor in Philadelphia, Pennsylvania. Edward Kanner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Edward Kanner is 1790905776. The last update date is 2022-08-30.
Edward Kanner's current location address is 11880 Bustleton Ave Ste 201, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152071559. The mailing address for Edward Kanner is 11880 Bustleton Ave Ste 201, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Kanner |
|---|---|
| Address | 11880 Bustleton Ave Ste 201, Philadelphia, Pennsylvania |
| Phone Number | 2152071559 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1790905776 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
| Address | 11880 Bustleton Ave Ste 201 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191162538 |
| Phone Number | 2152071559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC005275L |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KA688402 | PA | MEDICARE | |
| 3349839 | PA | UNITEDHEALTHCARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward Kanner?
The Edward Kanner has been issued the NPI (National Provider Identifier) 1790905776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edward Kanner?
The Edward Kanner is physically situated at 11880 Bustleton Ave Ste 201, in the city of Philadelphia, state of PA, with the postal code 191162538.
What is Edward Kanner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edward Kanner's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did Edward Kanner receive its 1790905776 assignment from the Centers for Medicare & Medicaid Services?
The Edward Kanner was assigned its 1790905776 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Edward Kanner's details last updated?
The information pertaining to the Edward Kanner, including its address, specialty, and other details, was most recently updated on 2022-08-30.