Provider Demographics
NPI:1093726747
Name:CHIRO CARE PC
Entity Type:Organization
Organization Name:CHIRO CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TISCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:267-217-7686
Mailing Address - Street 1:364 NEWBURY CT
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-3714
Mailing Address - Country:US
Mailing Address - Phone:267-217-7686
Mailing Address - Fax:267-613-8367
Practice Address - Street 1:4339 W SWAMP RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1039
Practice Address - Country:US
Practice Address - Phone:267-217-7686
Practice Address - Fax:267-613-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0363227000OtherKEYSIDNE HEALTH PLAN EAST
PA082354OtherHIGHMARK/PERSONAL CHOICE
PA089279Medicare ID - Type Unspecified