Organization
INTEGRATIVE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JEREMY BROWN (PRACTICE ADMINISTRATOR)
(215) 361-1122
Entity
Organization
Contact information
Practice address
1970 N BROAD ST, LANSDALE, PA 19446-1002
(215) 361-1122
(215) 361-6037
Mailing address
1970 N BROAD ST, LANSDALE, PA 19446-1002
(215) 361-1122
(215) 361-6037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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