SOUTH PHILLY CHIROPRACTIC LLC NPI 1366800062

NPI Information

SOUTH PHILLY CHIROPRACTIC, LLC 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. SOUTH PHILLY CHIROPRACTIC, LLC NPI is 1366800062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1913 S BROAD ST
1ST FLOOR
PHILADELPHIA, PA
ZIP 19148-216
Phone: (215) 755-5700
Fax: (215) 755-5800

The provider's authorized official is Donna L Staton .
The authorized official title is Business Manager and has the following contact phone number (215) 782-3891.

The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.

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:

Other Identifiers

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

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