Organization
PROGRESSIVE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY W. BULITTA JR. D.C. (PRESIDENT)
(610) 644-5880
Entity
Organization
Contact information
Practice address
36 CHESTNUT RD, PAOLI, PA 19301-1565
(610) 644-5880
(610) 594-0201
Mailing address
36 CHESTNUT RD, PAOLI, PA 19301-1565
(610) 644-5880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004497L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR1750850
HIGHMARK GROUP#
PA
Enumeration date
06/28/2006
Last updated
08/22/2020
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