Christopher Fiordaliso, D.C.

Individual provider Active NPI Chiropractor · Southampton, PA

NPI 1366481087 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1366481087
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC006513L (PA)
Practice address
75 James Way
Southampton, PA 18966-3858
Phone
(215) 942-7990
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College - West, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

260 Knowles Ave
Southampton, PA 18966-1530

260 Knowles Ave
Southampton, PA 18966-1555
Phone (215) 942-7990

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050314000046 PA Practitioner - Chiropractic 9537114558 Practice locations: Southampton, PA

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Chiropractic Center Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006513L PA Yes

Addresses

Primary practice location

75 James Way
Southampton, PA 18966-3858

Mailing address

75 James Way
P.O. Box 321
Southampton, PA 18966-3858
Phone (215) 942-7990

Other providers in Southampton, PA

All providers in Southampton, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.