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Organization
ROBERTS FAMILY & SPORTS CHIROPRACTIC
Active
Organization
ROBERTS FAMILY & SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD J ROBERTS DC (OWNER)
(215) 487-2500
Entity
Organization
Contact information
Practice address
8151 RIDGE AVE, PHILADELPHIA, PA 19128-2902
(215) 487-2500
(215) 487-7463
Mailing address
8151 RIDGE AVE, PHILADELPHIA, PA 19128-2902
(215) 487-2500
(215) 487-7463
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008037L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0856152000
IBC
PA
01
—
163629449
AMERIHEALTH ADMINISTRATOR
DE
01
—
163629449
AMERIHEALTH ADMINISTRATOR
NJ
01
—
2671626
AENTA NON HMO
PA
01
—
906443
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/21/2006
Last updated
06/25/2010
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