Althouse Chiropractic PC

Organization Active NPI Chiropractor · Ardmore, PA

NPI 1598084766 · NPPES record last updated May 26, 2010

Key facts

NPI
1598084766
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
DC-007183-L (PA)
Legal business name
ALTHOUSE CHIROPRACTIC PC
Practice address
198 Midfield Rd
Ardmore, PA 19003-3213
Phone
(610) 649-4982
Fax
(610) 642-5766
NPI assigned
May 26, 2010
Organization subpart
No

Authorized official

Name
Dr. Kimberly A Timmons, D.C.
Title
President
Phone
(610) 649-4982

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100826001009 PA Part B Supplier - Clinic/Group Practice 7719001874 Receives reassigned benefits from 1 practitioner
Practice locations: Ardmore, PA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X DC-007183-L PA Yes

Addresses

Primary practice location

198 Midfield Rd
Ardmore, PA 19003-3213

Mailing address

198 Midfield Rd
Ardmore, PA 19003-3213
Phone (610) 649-4982

Other providers in Ardmore, PA

All providers in Ardmore, PA · Chiropractor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.