Alexandra Agreda
Individual provider Active NPI Chiropractor · Lansdale, PA
NPI 1336768043 · NPPES record last updated Apr 13, 2020
Key facts
- NPI
- 1336768043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC011547 (PA)
- Practice address
- 490 Pennbrook Pkwy
Lansdale, PA 19446-3818 - Phone
- (215) 361-6130
- NPI assigned
- Apr 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011547 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Wales Family Chiropractic, LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011547 | PA | Yes |
Addresses
Primary practice location
490 Pennbrook Pkwy
Lansdale, PA 19446-3818
Mailing address
27 North LN
North Wales, PA 19454-2605
Phone (305) 502-7288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC011547 | Other | PA | LICENSE NUMBER |
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- Aesbar Medical, LLC
- Afra Wound Care Associates LLC
- Sami Ansar Ahmed
- Neha M Ajmera
- Rakhee Ajmera
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- Sidra Al-Sibae
All providers in Lansdale, 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 Apr 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.