Organization
AMERICAN CLINIC OF CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J GRIM (CHIROPRACTOR/OWNER)
(267) 582-0056
Entity
Organization
Contact information
Practice address
1 E BEACON LIGHT LN, CHESTER, PA 19013-4433
(267) 582-0056
Mailing address
PO BOX 115, FOLSOM, PA 19033-0115
(267) 582-0056
(610) 490-3904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011570400003
—
PA
Enumeration date
11/01/2006
Last updated
09/07/2023
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