Organization
ASSURED HEALTH CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ELLSWORTH MARTIN JR. DC (CHIROPRACTOR OWNER)
(610) 565-9426
Entity
Organization
Contact information
Practice address
1020 N PROVIDENCE ROAD, MEDIA, PA 19063
(610) 565-9426
(610) 565-8982
Mailing address
1020 N PROVIDENCE ROAD, MEDIA, PA 19063
(610) 565-9426
(610) 565-8982
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005118L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AS1763917
BLUE SHIELD HIGHMARK GR
PA
Enumeration date
02/13/2007
Last updated
06/02/2008
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