Provider Demographics
NPI:1578259560
Name:NEWTON FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NEWTON FAMILY CHIROPRACTIC LLC
Other - Org Name:NEWTON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-999-2172
Mailing Address - Street 1:2653 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-1922
Mailing Address - Country:US
Mailing Address - Phone:610-999-2172
Mailing Address - Fax:
Practice Address - Street 1:4885 W CHESTER PIKE STE 119
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2213
Practice Address - Country:US
Practice Address - Phone:610-999-2172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty