Organization
AZZATORI CHIROPRACTIC OF WILLOW GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER L YERKES (OFFICE MANAGER)
(215) 538-2266
Entity
Organization
Contact information
Practice address
612 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1904
(215) 830-6800
(215) 830-9712
Mailing address
612 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1904
(215) 830-6800
(215) 830-9712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1527055
BC/BS ASSIGNMENT ACCT #
PA
01
—
2216547000
KEYSTONE PROV #
PA
Enumeration date
05/20/2006
Last updated
01/18/2012
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