Organization
RHAWNHURST CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE D IZZO (OFFICE MANGER)
(215) 745-7500
Entity
Organization
Contact information
Practice address
7713 CASTOR AVE, PHILADELPHIA, PA 19152-3601
(215) 745-7500
(215) 745-6842
Mailing address
7713 CASTOR AVE, PHILADELPHIA, PA 19152-3601
(215) 745-7500
(215) 745-6842
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC-001651-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061006000
KEYSTONE IND.
PA
01
—
2076207000
IBC GROUP ID
PA
Enumeration date
03/30/2007
Last updated
08/16/2010
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