| Pennridge Wellness Center | |
|
1281 Rt 113 Unit B, Blooming Glen, PA 18911 | |
| (215) 257-3938 | |
| (215) 257-3646 |
| Full Name | Pennridge Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1281 Rt 113 Unit B, Blooming Glen, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902961253 | NPI | - | NPPES |
| 076343WK2 | Other | PA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC 008808 (Pennsylvania) | Primary |
| Provider Name | Johanna Leah Garlan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629046032 PECOS PAC ID: 5597758557 Enrollment ID: I20040406000324 |
| Provider Name | Mario Diprinzio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689800948 PECOS PAC ID: 5193026805 Enrollment ID: I20151223000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Pennridge Wellness Center Po Box 27, Blooming Glen, PA 18911-0027 Ph: (215) 257-3938 | Pennridge Wellness Center 1281 Rt 113 Unit B, Blooming Glen, PA 18911 Ph: (215) 257-3938 |
Dr. Matthew Charles Conroy, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1281 Pa-113, Unit B, Blooming Glen, PA 18911 Phone: 215-257-3938 | |
Dr. Johanna Leah Garlan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1281 Rte 113, Blooming Glen, PA 18911 Phone: 215-257-3938 Fax: 215-257-3646 | |
Dr. Courtney Elysha Gray, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1281 Rte 113, Blooming Glen, PA 18911 Phone: 215-257-3938 |