| Community Chiropractic Center | |
|
1717 Swede Road, Suite 106, Blue Bell, PA 19422 | |
| (484) 688-0664 | |
| (484) 688-0667 |
| Full Name | Community Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1717 Swede Road, 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 |
|---|---|---|---|
| 1174565717 | NPI | - | NPPES |
| 2130234000 | Other | INDEP BC | |
| 2130234000 | Other | HMO INDEP BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC006991L (Pennsylvania) | Primary |
| 111N00000X | Chiropractor | DC006990L (Pennsylvania) | Secondary |
| Provider Name | Mark L Legnola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982606752 PECOS PAC ID: 7810939816 Enrollment ID: I20050601000185 |
| Provider Name | Kristin Marcussen Legnola |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396746632 PECOS PAC ID: 8123056926 Enrollment ID: I20050803000276 |
| Provider Name | Michael F Donohoe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528075371 PECOS PAC ID: 0446439921 Enrollment ID: I20110131000310 |
| Provider Name | Gregory Joseph Lattanzi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295464576 PECOS PAC ID: 7810373057 Enrollment ID: I20220926002447 |
| Mailing Address | Practice Location Address |
|---|---|
| Community Chiropractic Center 1717 Swede Road, Suite 106, Blue Bell, PA 19422 Ph: (484) 688-0664 | Community Chiropractic Center 1717 Swede Road, Suite 106, Blue Bell, PA 19422 Ph: (484) 688-0664 |
Broad Axe Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 914 Skippack Pike, Blue Bell, PA 19422 Phone: 215-540-0776 Fax: 215-570-9022 | |
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 | |
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 |