100 Chiro Dotter Llc | |
575 Horsham Rd, Horsham, PA 19044-1746 | |
(570) 620-8482 | |
Not Available |
Full Name | 100 Chiro Dotter Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 575 Horsham Rd, Horsham, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003552969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kevin Charles Dotter |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902549009 PECOS PAC ID: 8628437019 Enrollment ID: I20230711003794 |
Mailing Address | Practice Location Address |
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100 Chiro Dotter Llc 95 Oakwood Vlg Apt 4, Flanders, NJ 07836-9096 Ph: () - | 100 Chiro Dotter Llc 575 Horsham Rd, Horsham, PA 19044-1746 Ph: (570) 620-8482 |
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