Organization
MLG CHIROPRACTIC ASSOC. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GOLDSTEIN D.C. (DOCTOR OF CHIROPRACTIC)
(610) 544-7001
Entity
Organization
Contact information
Practice address
1260 E WOODLAND AVE, SUITE 107, SPRINGFIELD, PA 19064-3969
(610) 544-7001
(610) 544-7002
Mailing address
1260 E WOODLAND AVE, SUITE 107, SPRINGFIELD, PA 19064-3969
(610) 544-7001
(610) 544-7002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007970L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092325000
INDEPENDENCE BLUE CROSS
PA
01
—
2510390
AETNA
—
Enumeration date
07/07/2006
Last updated
08/22/2020
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