Provider Demographics
NPI:1619146826
Name:COMPREHENSIVE CHIROPRACTIC & REHAB, INC.
Entity Type:Organization
Organization Name:COMPREHENSIVE CHIROPRACTIC & REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAI-WEN
Authorized Official - Middle Name:MIKE
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-443-5626
Mailing Address - Street 1:1422 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1606
Mailing Address - Country:US
Mailing Address - Phone:215-443-5626
Mailing Address - Fax:215-443-5973
Practice Address - Street 1:1422 EASTON RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-1606
Practice Address - Country:US
Practice Address - Phone:215-443-5626
Practice Address - Fax:215-443-5973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2014-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1369854OtherAETNA HMO
PA0007815819OtherAETNA PPO
PA1665081OtherBLUE SHIELD
PA2701807000OtherBLUE CROSS
PA0707518OtherUNITED HEALTHCARE
PA0007815819OtherAETNA PPO