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Organization

LEGNOLA AND MARCUSSEN CHIROPRACTIC ASSOCIATES

Active
Other names
Community Chiropractic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN L MARCUSSEN DC (PARTNER)
(484) 688-0664
Entity
Organization

Contact information

Practice address
1717 SWEDE ROAD, SUITE 106, BLUE BELL, PA 19422
(484) 688-0664
(484) 688-0667
Mailing address
1717 SWEDE ROAD, SUITE 106, BLUE BELL, PA 19422
(484) 688-0664
(484) 688-0667

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC006990L
PA
111N00000X
Chiropractor
Primary
DC006991L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2130234000
INDEP BC
Enumeration date
06/11/2006
Last updated
08/22/2020
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