Organization
LIFELINE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN D WASSERMANN D.C. (OWNER)
(215) 368-4222
Entity
Organization
Contact information
Practice address
628 E MAIN ST, LANSDALE, PA 19446-2964
(215) 368-4222
(215) 368-8321
Mailing address
PO BOX 711, LANSDALE, PA 19446-0901
(215) 368-4222
(215) 368-8321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-005166-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891792701
BLUE CROSS
PA
01
—
2306381
AETNA
PA
01
—
2409794000
KEYSTONE
PA
Enumeration date
04/14/2007
Last updated
06/23/2008
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