| Broad Axe Chiropractic Center | |
|
914 Skippack Pike, Blue Bell, PA 19422-1535 | |
| (215) 540-0776 | |
| (215) 570-9022 |
| Full Name | Broad Axe Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 914 Skippack Pike, Blue Bell, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013103993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC003375L (Pennsylvania) | Primary |
| Provider Name | Robert J Kustra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518906668 PECOS PAC ID: 6406022060 Enrollment ID: I20120103000304 |
| Provider Name | Patricia Bona Kustra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851346290 PECOS PAC ID: 4688840242 Enrollment ID: I20120103000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Axe Chiropractic Center 914 Skippack Pike, Blue Bell, PA 19422-1535 Ph: (215) 540-0776 | Broad Axe Chiropractic Center 914 Skippack Pike, Blue Bell, PA 19422-1535 Ph: (215) 540-0776 |
Daniel Carradorini Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 895 Longfield Dr, Blue Bell, PA 19422 Phone: 610-277-9935 | |
Deborah Ann Lem, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1402 Daws Rd, Blue Bell, PA 19422 Phone: 610-277-5533 Fax: 610-277-9810 | |
Community Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1717 Swede Road, Suite 106, Blue Bell, PA 19422 Phone: 484-688-0664 Fax: 484-688-0667 | |
Daws Road Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 Daws Rd, Blue Bell, PA 19422 Phone: 610-277-5533 Fax: 610-277-9810 | |
Hyoyoung Lee, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 704 Dekalb Pike, Blue Bell, PA 19422 Phone: 610-313-3185 | |
Gregory Joseph Lattanzi, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1717 Swede Rd Ste 106, Blue Bell, PA 19422 Phone: 877-946-4060 |