Provider Demographics
NPI:1346678554
Name:MCQUAITE CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:MCQUAITE CHIROPRACTIC CENTER, PC
Other - Org Name:MCQUAITE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCQUAITE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:267-247-7000
Mailing Address - Street 1:295 LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4017
Mailing Address - Country:US
Mailing Address - Phone:267-247-7000
Mailing Address - Fax:267-247-0509
Practice Address - Street 1:295 LOGAN ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4017
Practice Address - Country:US
Practice Address - Phone:267-247-7000
Practice Address - Fax:267-247-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-25
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC5011L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty