Organization
PASSYUNK CHIROPRACTIC & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HEVERIN (BILLING MANAGER)
(215) 579-7374
Entity
Organization
Contact information
Practice address
1509 E PASSYUNK AVE, PHILADELPHIA, PA 19147-6322
(215) 467-1143
(215) 467-1599
Mailing address
PO BOX 22705, PHILADELPHIA, PA 19110-2705
(215) 579-7374
(215) 579-4622
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC007852L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061389
HIGHMARK
PA
Enumeration date
06/24/2009
Last updated
06/24/2009
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