| Chiropractic Spine Center Iv | |
|
744 W Lancaster Ave, Suite 105, Wayne, PA 19087-2523 | |
| (610) 254-8200 | |
| (610) 254-8263 |
| Full Name | Chiropractic Spine Center Iv |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 744 W Lancaster Ave, Wayne, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063469740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | DC007347L (Pennsylvania) | Primary |
| 225100000X | Physical Therapist | AJ-007347-L (Pennsylvania) | Secondary |
| Provider Name | Theodore Albert Glazer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750344867 PECOS PAC ID: 2264498583 Enrollment ID: I20041208000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Spine Center Iv 744 W Lancaster Ave, Suite 105, Wayne, PA 19087-2523 Ph: (610) 254-8200 | Chiropractic Spine Center Iv 744 W Lancaster Ave, Suite 105, Wayne, PA 19087-2523 Ph: (610) 254-8200 |
Patricia Coughlin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 240 Conestoga Rd, Wayne, PA 19087 Phone: 610-688-3336 Fax: 610-668-5955 | |
Dr. Brandie Elizabeth Keates, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 992 Old Eagle School Rd, Suite 902, Wayne, PA 19087 Phone: 610-337-7463 Fax: 610-337-9505 | |
Dr. Arthur Nemchenko, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 992 Old Eagle School Rd, Suite 902, Wayne, PA 19087 Phone: 610-337-7463 Fax: 610-337-9505 | |
Dr. Gary Watson Rendina, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 136 Anthony Wayne Dr, Wayne, PA 19087 Phone: 610-964-0608 Fax: 610-964-2745 | |
Strafford Chiropractic & Healing Center Chiropractor Medicare: Medicare Enrolled Practice Location: 136 W Wayne Ave, Wayne, PA 19087 Phone: 610-293-1660 Fax: 610-293-9490 | |
Dr. Danielle Marie Gray, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 250 W Lancaster Ave, Suite 112, Wayne, PA 19087 Phone: 610-573-0042 |