is a Chiropractor in Upper Darby, Pennsylvania. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1093766628. The last update date is .
's current location address is 115 E Township Line Rd, Upper Darby, Pennsylvania. You can contact this provider via phone number 6107891800 and fax number 6107892627. The mailing address for is 115 E Township Line Rd, Upper Darby, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 115 E Township Line Rd, Upper Darby, Pennsylvania |
| Phone Number | 6107891800 |
| Fax Number | 6107892627 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093766628 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 115 E Township Line Rd |
|---|---|
| City | Upper Darby |
| State | Pennsylvania (PA) |
| Post Code | 190821019 |
| Phone Number | 6107891800 |
| Fax Number | 6107892627 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC006034L |
|
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 |
|---|---|---|---|
| 790823000 | PA | INDEPENDENCE BLUE CROSS |
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