Provider Demographics
NPI:1376880591
Name:TRI-COUNTY CHIROPRACTIC OF EXTON
Entity Type:Organization
Organization Name:TRI-COUNTY CHIROPRACTIC OF EXTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:SINNOTT
Authorized Official - Last Name:TREACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-327-8090
Mailing Address - Street 1:1954 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-9209
Mailing Address - Country:US
Mailing Address - Phone:610-327-8090
Mailing Address - Fax:610-327-0970
Practice Address - Street 1:312 E LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2729
Practice Address - Country:US
Practice Address - Phone:484-879-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty