Provider Demographics
NPI:1699010033
Name:MAESTRO CHIROPRACTIC & REHAB LLC
Entity Type:Organization
Organization Name:MAESTRO CHIROPRACTIC & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHUL HO
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-270-8888
Mailing Address - Street 1:2949 SWEDE RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1335
Mailing Address - Country:US
Mailing Address - Phone:610-270-8888
Mailing Address - Fax:610-270-8877
Practice Address - Street 1:2949 SWEDE RD
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1335
Practice Address - Country:US
Practice Address - Phone:610-270-8888
Practice Address - Fax:610-270-8877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty