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ITKIN CHIROPRACTIC PC NPI 1235294745


NPI Information

NPI: 1235294745
Provider Name: ITKIN CHIROPRACTIC PC

Doing Business As: NORTHEAST REHABILITATION CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14425 BUSTLETON AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 676-3236
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ITKIN CHIROPRACTIC PC is a chiropractor in Philadelphia, PA. The provider is 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 interrelationship with other body systems. ITKIN CHIROPRACTIC PC NPI is 1235294745. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northeast Rehabilitation Center.

The provider's business location address is:

14425 BUSTLETON AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 676-3236
Fax: (215) 676-4275

The provider's authorized official is Olga Itkin .
The authorized official title is President and has the following contact phone number (215) 676-3236.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 6/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101530727MEDICAIDPENNSYLVANIA
2IT779560MEDICARE ID-TYPE UNSPECIFIED
3U58554MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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