Organization
JENKINTOWN CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART B. TOLLEN D.C. (PRESIDENT)
(215) 885-8730
Entity
Organization
Contact information
Practice address
435 JOHNSON ST, JENKINTOWN, PA 19046-2705
(215) 885-8730
(215) 885-7665
Mailing address
435 JOHNSON ST, JENKINTOWN, PA 19046-2705
(215) 885-8730
(215) 885-7665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
DC004405L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004405572
AETNA
PA
01
—
1985023
HIGHMARK BLUE SHIELD
PA
01
—
2795998000
KEYSTONE HEATH CARE EAST
PA
Enumeration date
11/21/2006
Last updated
03/05/2008
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