Provider Demographics
NPI:1508036732
Name:STUART KATZEN MONTGOMERY CHIROPRACTIC
Entity Type:Organization
Organization Name:STUART KATZEN MONTGOMERY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:E
Authorized Official - Last Name:KATZEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DC
Authorized Official - Phone:610-664-8330
Mailing Address - Street 1:915 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072
Mailing Address - Country:US
Mailing Address - Phone:610-664-8330
Mailing Address - Fax:610-664-6334
Practice Address - Street 1:915 MONTGOMERY AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072
Practice Address - Country:US
Practice Address - Phone:610-664-8330
Practice Address - Fax:610-664-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007069L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty