1639280027 NPI number — SPINEDRAULIX CHIROPRACTIC, LLC

Table of content: (NPI 1639280027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639280027 NPI number — SPINEDRAULIX CHIROPRACTIC, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPINEDRAULIX CHIROPRACTIC, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639280027
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2030 COUNTY LINE RD
Provider Second Line Business Mailing Address:
SUITE 161
Provider Business Mailing Address City Name:
HUNTINGDON VALLEY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-901-2812
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11685 BUSTLETON AVE
Provider Second Line Business Practice Location Address:
#C
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-969-1116
Provider Business Practice Location Address Fax Number:
215-682-7328
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MELIODON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
215-969-1116

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC-007396L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ME 401279 . This is a "BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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