Denise Lynne Defries, D.C.

Individual provider Active NPI Chiropractor · Aston, PA

NPI 1497757983 · NPPES record last updated Mar 14, 2013

Key facts

NPI
1497757983
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
DC-003713-L (PA)
Practice address
2870 Concord Rd
Aston, PA 19014-2946
Phone
(484) 480-4544
Fax
(484) 480-4546
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DC-003713-LPAMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-003713-L PA Yes

Addresses

Primary practice location

2870 Concord Rd
Aston, PA 19014-2946

Mailing address

2870 Concord Rd
Aston, PA 19014-2946
Phone (484) 480-4544

Other identifiers

IdentifierTypeStateIssuer
153029OtherPAUNITEDHEALTH CARE
153029OtherPACAPITAL BLUE CROSS
153029OtherPAMAIL HANDLERS
3314201OtherPAAETNA
3725263OtherPACIGNA
153029OtherPABC/BS - FEP
008458900OtherPAKEYSTONE HEALTH PLAN EAST
153029OtherPAWPS-TRICARE
153029OtherPADEVON HEALTH CARE
153029OtherPAGEM
0084589000OtherPAINDEPENCE BLUE CROSS
153029OtherPAHIGHMARK BLUE SHIELD
153029OtherPAAMERIHEALTH
153029OtherPACORESOURCE

Other providers in Aston, PA

All providers in Aston, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.