Organization
COREFIT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E WALTER D.C (OWNER/PRESIDENT)
(610) 554-8290
Entity
Organization
Contact information
Practice address
1124 GLENLIVET DR, ALLENTOWN, PA 18106-3104
(610) 554-8290
Mailing address
3877 HIGHPOINT DR, ALLENTOWN, PA 18103-6142
(610) 554-8290
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017938440003
—
PA
Enumeration date
03/29/2016
Last updated
03/29/2016
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