WALCOTT CHIROPRACTIC P.C. NPI 1336175918

NPI Information

NPI: 1336175918
Provider Name: WALCOTT CHIROPRACTIC, P.C.

Doing Business As: ADVANCED WELLNESS CENTER OF PA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14260 BUSTLETON AVE
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 676-0104
Get Directions

WALCOTT CHIROPRACTIC, P.C. 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. WALCOTT CHIROPRACTIC, P.C. NPI is 1336175918. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Wellness Center Of Pa.

The provider's business location address is:

14260 BUSTLETON AVE
PHILADELPHIA, PA
ZIP 19116-108
Phone: (215) 676-0104

The provider's authorized official is Christopher Vaill Walcott .
The authorized official title is President and has the following contact phone number (215) 493-1590.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/28/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC007908L	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0060935000	OTHER	PENNSYLVANIA	PERSONAL CHOICE
2	DD6376	OTHER	PENNSYLVANIA	RR MEDICARE GROUP ID
3	2125718000	OTHER	PENNSYLVANIA	PERSONAL CHOICE GROUP ID
4	044045RUS	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	MEDICARE
5	0060935000	OTHER	PENNSYLVANIA	AMERIHEALTH PIN ID
6	U82954	MEDICARE UPIN	PENNSYLVANIA
7	056172	OTHER	PENNSYLVANIA	BLUE SHIELD
8	7979272	OTHER	PENNSYLVANIA	AETNA TRADITIONAL
9	2192178	OTHER	PENNSYLVANIA	UNITED HEALTHCARE
10	P00240657	OTHER	PENNSYLVANIA	RR MEDICARE
11	1437125	OTHER	PENNSYLVANIA	BLUE SHIELD GROUP ID
12	2125718000	OTHER	PENNSYLVANIA	KEYSTONE GROUP ID
13	0060935000	OTHER	PENNSYLVANIA	KEYSTONE
14	3063269	OTHER	PENNSYLVANIA	AETNA HMO
15	070691	MEDICARE PIN	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »