Provider Demographics
NPI:1568860427
Name:RUBINA TAHIR CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:RUBINA TAHIR CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:267-340-5014
Mailing Address - Street 1:870 N 28TH ST
Mailing Address - Street 2:120
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1732
Mailing Address - Country:US
Mailing Address - Phone:267-340-5014
Mailing Address - Fax:
Practice Address - Street 1:7592 HAVERFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2113
Practice Address - Country:US
Practice Address - Phone:215-879-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA010904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty