Provider Demographics
NPI:1710963046
Name:KELTZ, FRANCIS L
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:L
Last Name:KELTZ
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:F
Other - Middle Name:LEO
Other - Last Name:KELTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1820 HAMPDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1606
Mailing Address - Country:US
Mailing Address - Phone:610-372-6874
Mailing Address - Fax:610-372-9689
Practice Address - Street 1:1820 HAMPDEN BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1606
Practice Address - Country:US
Practice Address - Phone:610-372-6874
Practice Address - Fax:610-372-9689
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001398L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
114233OtherBLUE SHIELD
02555500OtherCAPITAL BLUE CROSS
3000113OtherKEYSTONE HEALTH PLAN CENT
5314179OtherAETNA
3000113OtherKEYSTONE HEALTH PLAN CENT
KE114233Medicare ID - Type Unspecified