Provider Demographics
NPI:1053450023
Name:GRECO FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:GRECO FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-675-8009
Mailing Address - Street 1:144 YORK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4521
Mailing Address - Country:US
Mailing Address - Phone:215-675-8009
Mailing Address - Fax:215-675-1348
Practice Address - Street 1:144 YORK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4521
Practice Address - Country:US
Practice Address - Phone:215-675-8009
Practice Address - Fax:215-675-1348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005646L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty