Organization
MAIN STREET CHIRO LLC
Active
Other names
Main Street Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARAK NAVIN PATEL DC (OWNER/PROVIDER)
(856) 904-3061
Entity
Organization
Contact information
Practice address
24 W MAIN ST, MIDDLETOWN, DE 19709-1039
(856) 904-3061
(215) 332-8691
Mailing address
24 W MAIN ST, MIDDLETOWN, DE 19709-1039
(856) 904-3061
(215) 332-8691
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036188000001
—
PA
01
—
1083056683
PERSONAL NPI
—
Enumeration date
08/03/2022
Last updated
08/03/2022
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