Garnet Valley Sport & Spine Chiropractic Center Pa | |
3039 Foulk Rd, Garnet Valley, PA 19060-1701 | |
(610) 361-0070 | |
(610) 361-0071 |
Full Name | Garnet Valley Sport & Spine Chiropractic Center Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 3039 Foulk Rd, Garnet Valley, 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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1841530243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC008836 (Pennsylvania) | Primary |
Provider Name | Mark A Clukey |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932238698 PECOS PAC ID: 8224017702 Enrollment ID: I20040719000015 |
Provider Name | Timothy A Martin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487692224 PECOS PAC ID: 5294760450 Enrollment ID: I20091014000054 |
Provider Name | Casey Mae Fouse |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164792784 PECOS PAC ID: 0749412856 Enrollment ID: I20140403001653 |
Provider Name | Brian M Feeney |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467741371 PECOS PAC ID: 4880863620 Enrollment ID: I20141111000266 |
Provider Name | Stephanie Soto |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235522848 PECOS PAC ID: 1850687807 Enrollment ID: I20170608000063 |
Provider Name | Kevin Cattie |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740764984 PECOS PAC ID: 3173876562 Enrollment ID: I20181101001732 |
Provider Name | Nicholas Marini |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1114230380 PECOS PAC ID: 7012246606 Enrollment ID: I20190906001683 |
Mailing Address | Practice Location Address |
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Garnet Valley Sport & Spine Chiropractic Center Pa 3039 Foulk Rd, Garnet Valley, PA 19060-1701 Ph: (610) 361-0070 | Garnet Valley Sport & Spine Chiropractic Center Pa 3039 Foulk Rd, Garnet Valley, PA 19060-1701 Ph: (610) 361-0070 |
Dr. Stephanie Soto, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3039 Foulk Rd, Garnet Valley, PA 19060 Phone: 610-361-0070 Fax: 610-361-0071 | |
Garnet Valley Sprot And Spine Chiropactic Ctr Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3039 Foulk Road, Garnet Valley, PA 19060 Phone: 610-361-0070 Fax: 610-361-0071 | |
Kevin Cattie Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3039 Foulk Rd, Garnet Valley, PA 19060 Phone: 610-361-0070 Fax: 610-361-0071 |