Active NPI
Haverford Chiropractic Inc.
- Chiropractor
- Wayne, PA
National Provider Identifier
1952592024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 002095 L
- Legal business name
- HAVERFORD CHIROPRACTIC INC.
- Practice address
- 105 N Wayne Ave
Rear
Wayne, PA 19087-3566 - Phone
- (610) 687-8280
- Fax
- (610) 687-8103
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Mychlauk, D.C.
- Title
- Owner
- Phone
- (610) 687-8280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 002095 L | PA | Primary |
Addresses
Primary practice location
105 N Wayne Ave
Rear
Wayne, PA 19087-3566
Mailing address
105 N Wayne Ave
Rear
Wayne, PA 19087-3566
Phone (610) 687-8280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 N Wayne Ave
Rear
Wayne, PA 19087
Phone (610) 687-8280
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Haverford, PA
- NPI 1699773846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186272000000",
"number": "1952592024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N WAYNE AVE",
"address_2": "REAR",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873566",
"telephone_number": "610-687-8280",
"fax_number": "610-687-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N WAYNE AVE",
"address_2": "REAR",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873566",
"telephone_number": "610-687-8280",
"fax_number": "610-687-8103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVERFORD CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A",
"authorized_official_last_name": "MYCHLAUK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-687-8280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 002095 L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.