Provider Demographics
NPI:1609156017
Name:JOSEPH HENG PC
Entity Type:Organization
Organization Name:JOSEPH HENG PC
Other - Org Name:ACTIVE PHYSICAL REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-466-3248
Mailing Address - Street 1:6447 MARKET ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1838
Mailing Address - Country:US
Mailing Address - Phone:484-466-3248
Mailing Address - Fax:484-450-4655
Practice Address - Street 1:6447 MARKET ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1838
Practice Address - Country:US
Practice Address - Phone:484-466-3248
Practice Address - Fax:484-450-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty