Provider Demographics
NPI:1346634243
Name:MESS, ANGELA C (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:C
Last Name:MESS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W HIGHLAND AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3322
Mailing Address - Country:US
Mailing Address - Phone:215-233-2700
Mailing Address - Fax:215-233-2701
Practice Address - Street 1:15 W HIGHLAND AVE
Practice Address - Street 2:SUITE F
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3322
Practice Address - Country:US
Practice Address - Phone:215-233-2700
Practice Address - Fax:215-233-2701
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor