Connelly Chiropractic, Inc
Organization Active NPI Chiropractor · Limerick, PA
NPI 1033229463 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1033229463
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC005058L (PA)
- Legal business name
- CONNELLY CHIROPRACTIC, INC
- Practice address
- 695 N Lewis Rd
Limerick, PA 19468-1227 - Phone
- (610) 495-4550
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael Patrick Connelly, DC
- Title
- Ceo
- Phone
- (610) 495-4550
Practitioners 2
-
Kyle Kopicki, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050419001302 | PA | Part B Supplier - Clinic/Group Practice | 0042258105 |
Receives reassigned benefits from 1 practitioner Practice locations: Limerick, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC005058L | PA | Yes |
Addresses
Primary practice location
695 N Lewis Rd
Limerick, PA 19468-1227
Mailing address
695 N Lewis Rd
Limerick, PA 19468-1227
Phone (610) 495-4550
Other names
- Connelly Chiropractic & Wellness
Other providers in Limerick, PA
- CHS Pennsylvania Medical, PC
- Erin Clineff
- Richard F Cohen
- Carol D Cola
- Complete Dental Solution of Limerick LLC
- Michael Patrick Connelly
- Stacie Courtney-Mustaphi
- Cross Plastic Surgery Associates PLLC
- Kathleen Teresa Digioia Curry
- Michael Dampf
All providers in Limerick, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.