Provider Demographics
NPI:1780013193
Name:LONDER FAMILY CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:LONDER FAMILY CHIROPRACTIC CENTER
Other - Org Name:DR. IRENE DUBINSKY LONDER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-783-1311
Mailing Address - Street 1:3000 VALLEY FORGE CIR
Mailing Address - Street 2:SUITE G-12
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1110
Mailing Address - Country:US
Mailing Address - Phone:610-783-1311
Mailing Address - Fax:610-783-1112
Practice Address - Street 1:3000 VALLEY FORGE CIR
Practice Address - Street 2:SUITE G-12
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1110
Practice Address - Country:US
Practice Address - Phone:610-783-1311
Practice Address - Fax:610-783-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006531-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty