Organization
DR. DOUGLAS R. SWEDE DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RONALD SWEDE DC (OWNER)
(610) 831-1650
Entity
Organization
Contact information
Practice address
130 W MAIN ST, SUITE 126, TRAPPE, PA 19426-2025
(610) 831-1650
(610) 831-1651
Mailing address
130 W MAIN ST, PMB312 SUITE 144, TRAPPE, PA 19426-2025
(610) 831-1650
(610) 831-1651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1432704
HIGHMARK BLUE SHEILD
PA
01
—
2117389000
INDEPENDANCE BLUE CROSS
PA
01
—
2833386000
KHPE
PA
01
—
7772422
AETNA
PA
Enumeration date
04/26/2007
Last updated
06/16/2008
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