Organization
DYNAMIC THERAPEUTICS INC.
Active
Other names
Back In Action Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN R CHANDLER D.C. (PRESIDENT)
(302) 322-3304
Entity
Organization
Contact information
Practice address
819 CHURCHMANS ROAD EXT, NEW CASTLE, DE 19720-3152
(302) 322-3304
(302) 322-3306
Mailing address
819 CHURCHMANS ROAD EXT, NEW CASTLE, DE 19720-3152
(302) 322-3304
(302) 322-3306
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F1-0000435
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0529674000
KEYSTONE HEALTH PLAN EAST
DE
01
—
2122380
MAMSI/OPTIMA CHOICE
DE
01
—
2219986
AETNA
DE
01
—
2276361
FIRST HEALTH
DE
01
—
409623
COVENTRY
DE
Enumeration date
05/07/2007
Last updated
06/26/2008
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