Provider Demographics
NPI:1679730022
Name:VOLGRAF CHIROPRACTIC CENTRE
Entity Type:Organization
Organization Name:VOLGRAF CHIROPRACTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:VOLGRAF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-464-6080
Mailing Address - Street 1:3151 WILLITS RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-3816
Mailing Address - Country:US
Mailing Address - Phone:215-464-6080
Mailing Address - Fax:215-464-4520
Practice Address - Street 1:185 SWAMP RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3903
Practice Address - Country:US
Practice Address - Phone:215-464-6080
Practice Address - Fax:215-464-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005026-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA433849Medicare PIN