Atlas Chiropractic of Wyomissing, P.C.
Organization Active NPI Chiropractor · Sinking Spring, PA
NPI 1396766085 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1396766085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC007924L (PA)
- Legal business name
- ATLAS CHIROPRACTIC OF WYOMISSING, P.C.
- Practice address
- 2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679 - Phone
- (610) 685-8527
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Marc Anthony Calicchio, D.C.
- Title
- Owner
- Phone
- (610) 685-8527
Practitioners 1
-
Marc Anthony Calicchio, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120229000439 | PA | Part B Supplier - Clinic/Group Practice | 1951569458 |
Receives reassigned benefits from 1 practitioner Practice locations: Sinking Spring, PA |
National Provider Directory
Locations
4 Park Plz
Ste 301
Wyomissing, PA 19610
Phone (610) 685-8527
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC007924L | PA | Yes |
Addresses
Primary practice location
2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679
Mailing address
2917 Windmill Rd
Suite 4
Sinking Spring, PA 19608-1679
Phone (610) 685-8527
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AT1441200 | Other | PA | HIGHMARK BLUE SHIELD |
Other providers in Sinking Spring, PA
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- Ann Marie Lago, D.O. PC
- Caitlin Courtney Armao
- Margaret Stoner Atwell
- Aurelia Behavioral Health LLC
- Berard Nicholas Avella
- Balatgek Family Dental, LLC
- Kenneth Balatgek
All providers in Sinking Spring, 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 Feb 10, 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.