Organization
EVERETT CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KENNETH EVERETT D.C. (PRESIDENT)
(610) 760-1700
Entity
Organization
Contact information
Practice address
519 WILLOW RD, WALNUTPORT, PA 18088-9653
(610) 760-1700
Mailing address
519 WILLOW RD, WALNUTPORT, PA 18088-9653
(610) 760-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50010328
CAPITAL BLUE CROSS
PA
Enumeration date
03/01/2007
Last updated
06/30/2010
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