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WEST PHILADELPHIA PAIN MANAGEMENT CENTER NPI 1396258380


NPI Information

NPI: 1396258380
Provider Name: WEST PHILADELPHIA PAIN MANAGEMENT CENTER
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5429 CHESTNUT ST STE G19
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 796-9003
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WEST PHILADELPHIA PAIN MANAGEMENT CENTER 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. WEST PHILADELPHIA PAIN MANAGEMENT CENTER NPI is 1396258380. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5429 CHESTNUT ST STE G19
PHILADELPHIA, PA
ZIP 19139-325
Phone: (215) 796-9003
Fax: (215) 596-0654

The provider's authorized official is Sharon Kristoff .
The authorized official title is Office Manager and has the following contact phone number (215) 957-5400.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 11/13/2017.


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
1111N00000XChiropractorDC004566LPENNSYLVANIAYes
2208100000XPhysical Medicine & RehabilitationMD067744LPENNSYLVANIANo

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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