Organization
VANINA CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT D VANINA DC (OWNER)
(610) 659-1454
Entity
Organization
Contact information
Practice address
368 N LEWIS RD, ROYERSFORD, PA 19468-1576
(610) 948-1487
Mailing address
25 E CHERRY LN, ROYERSFORD, PA 19468-1305
(610) 659-1454
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC010785
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120187500
—
MN
Enumeration date
03/01/2017
Last updated
03/01/2017
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