Coordinated Health Center P C

Organization Active NPI Chiropractor · Narberth, PA

NPI 1326219734 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1326219734
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
DC006360L (PA)
Legal business name
COORDINATED HEALTH CENTER P C
Practice address
104 Forrest Ave
Narberth, PA 19072-2215
Phone
(610) 667-8412
Fax
(610) 667-8413
NPI assigned
Mar 13, 2008
Organization subpart
No

Authorized official

Name
Dr. Gregory Tickle, DC
Title
Owner
Phone
(610) 667-8412

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X DC006360L PA Yes

Addresses

Primary practice location

104 Forrest Ave
Narberth, PA 19072-2215

Mailing address

104 Forrest Ave
Narberth, PA 19072-2215
Phone (610) 667-8412

Other identifiers

IdentifierTypeStateIssuer
145478000OtherPAHIGHMARK BS

Other providers in Narberth, PA

All providers in Narberth, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.