Provider Demographics
NPI:1356478572
Name:MARINI CHIROPRACTIC & EDUCATION PC
Entity Type:Organization
Organization Name:MARINI CHIROPRACTIC & EDUCATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-337-3555
Mailing Address - Street 1:144 E DEKALB PIKE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-2150
Mailing Address - Country:US
Mailing Address - Phone:610-337-3555
Mailing Address - Fax:610-337-8235
Practice Address - Street 1:144 E DEKALB PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-2150
Practice Address - Country:US
Practice Address - Phone:610-337-3555
Practice Address - Fax:610-337-8235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003760-L261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA541982Medicare ID - Type Unspecified