Organization
DOUGHERTY CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A DOUGHERTY DC (OWNER)
(610) 626-0200
Entity
Organization
Contact information
Practice address
325 N LANSDOWNE AVE, LANSDOWNE, PA 19050
(610) 626-0200
(610) 626-0475
Mailing address
325 N LANSDOWNE AVE, LANSDOWNE, PA 19050
(610) 626-0200
(610) 626-0475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC002830L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032844000
PERSONAL CHOICE
—
01
—
0825751000
KEYSTONE
—
Enumeration date
03/27/2007
Last updated
08/22/2020
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