Main Line Inntegrative And Functional Medicine is a
Chiropractor - Nutrition based in Chesterbrook, Pennsylvania. Main Line Inntegrative And Functional Medicine is licensed to practice in * (Not Available) (license number ) and their current practice location is
43 Le Forge Ct, Chesterbrook, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(484) 254-6186.
NPI number for Main Line Inntegrative And Functional Medicine is 1316582042 and their current mailing address is 45 E City Ave, Bala Cynwyd, Pennsylvania. Main Line Inntegrative And Functional Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316582042.
Healthcare Provider's Profile
Full Name | Main Line Inntegrative And Functional Medicine |
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Type | Facility |
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Speciality | Chiropractor - Nutrition |
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Location | 43 Le Forge Ct, Chesterbrook, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316582042
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 11/18/2019
Medical Identifiers
Medical identifiers for Main Line Inntegrative And Functional Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316582042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NN1001X | Chiropractor - Nutrition | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Main Line Inntegrative And Functional Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Main Line Inntegrative And Functional Medicine 45 E City Ave, Bala Cynwyd, PA 19004-2421 Ph: (484) 254-6186 | Main Line Inntegrative And Functional Medicine 43 Le Forge Ct, Chesterbrook, PA 19087-1223 Ph: (484) 254-6186 |
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