Organization
DR. O. FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO O'LOUGHLIN D.C. (CHIROPRACTOR)
(215) 514-6686
Entity
Organization
Contact information
Practice address
319 PRITCHARD LN, WALLINGFORD, PA 19086-6104
(215) 514-6686
(610) 565-8493
Mailing address
211 N MONROE ST, MEDIA, PA 19063-3019
(215) 514-6686
(610) 565-8493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001451301
HIGHMARK BLUE SHIELD
PA
01
—
2134360000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/23/2007
Last updated
12/03/2012
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