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CARDONICK CHIROPRACTIC PC NPI 1548444607


NPI Information

NPI: 1548444607
Provider Name: CARDONICK CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
23 EAST DURHAM ST.
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 242-8632
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CARDONICK 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. CARDONICK CHIROPRACTIC PC NPI is 1548444607. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 EAST DURHAM ST.
PHILADELPHIA, PA
ZIP 19119-821
Phone: (215) 242-8632
Fax: (215) 242-4226

The provider's authorized official is Brett David Cardonick .
The authorized official title is Chiropractor and has the following contact phone number (215) 242-8632.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 12/26/2007.


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
1111N00000XChiropractorDC5192NEW YORKYes

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
1473939MEDICARE PINPENNSYLVANIA
20237787000OTHERPENNSYLVANIAPERSONAL CHOICE
30527913OTHERPENNSYLVANIAAETNA

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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