Organization
LEBER CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID LEBER DC (PRESIDENT)
(215) 393-9909
Entity
Organization
Contact information
Practice address
521 STUMP ROAD, SUITE B, NORTH WALES, PA 19454
(215) 393-9909
(215) 393-9946
Mailing address
PO BOX 97, MONTGOMERYVILLE, PA 18936
(215) 393-9909
(215) 393-9946
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
AJ007635L
PA
111N00000X
Chiropractor
Primary
DC007635L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1368697
HIGHMARK BLUE SHIELD
PA
01
—
2060659000
INDEPENDENCE BLUE CROSS
PA
01
—
N68697
AMERIHEALTH ADMINISTRATOR
PA
Enumeration date
06/19/2006
Last updated
08/22/2020
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