Organization
EAGLE CHIROPRACTIC AT POTTSTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW E. GOTTLIEB D. C. (OWNER)
(610) 469-0700
Entity
Organization
Contact information
Practice address
2091 POTTSTOWN PIKE, POTTSTOWN, PA 19465-8671
(610) 469-0700
(610) 469-8502
Mailing address
2091 POTTSTOWN PIKE, POTTSTOWN, PA 19465-8671
(610) 469-0700
(610) 469-8502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004743L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00139115004
—
PA
01
—
5931123
AETNA
PA
01
—
673170
PERSONAL CHOICE
PA
Enumeration date
03/09/2007
Last updated
11/26/2008
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