Provider Demographics
NPI:1285834283
Name:THE SILVERMAN WELLNESS GROUP
Entity Type:Organization
Organization Name:THE SILVERMAN WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-627-3782
Mailing Address - Street 1:123 CHESTNUT ST STE 204
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3051
Mailing Address - Country:US
Mailing Address - Phone:215-627-3782
Mailing Address - Fax:215-627-3695
Practice Address - Street 1:123 CHESTNUT ST STE 204
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3051
Practice Address - Country:US
Practice Address - Phone:215-627-3782
Practice Address - Fax:215-627-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA003500L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T78230Medicare UPIN
194915Medicare PIN