Elkins Park Chiropractic Center LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

ELKINS PARK CHIROPRACTIC CENTER LLC

Practice address

1831 W. Cheltenham Ave
Elkins Park, PA 19027

Phone

(267) 331-6556

Fax

(267) 335-5336

NPI assigned

Apr 30, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jean Harold Fontaine, CHIROPRACTOR

Title

Owner

Phone

(484) 319-2165

Specialties & licenses 1

Addresses

Other names 1

• Elkins Park Chiropractic Center LLC Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1932697406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 W CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271049",
            "telephone_number": "267-331-6556",
            "fax_number": "267-335-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W. CHELTENHAM AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "19027",
            "telephone_number": "267-331-6556",
            "fax_number": "267-335-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKINS PARK CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-319-2165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkins Park Chiropractic Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elkins Park Chiropractic Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elkins Park Chiropractic Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Elkins Park Orthodontist

• Rehabilitation Chiropractor in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.