Provider Demographics
NPI:1851512297
Name:CHIROPRACTIC & CARPAL TUNNEL CENTER LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC & CARPAL TUNNEL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-862-6363
Mailing Address - Street 1:9 VILLAGE ROW
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1061
Mailing Address - Country:US
Mailing Address - Phone:215-862-6363
Mailing Address - Fax:215-862-6361
Practice Address - Street 1:9 VILLAGE ROW
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1061
Practice Address - Country:US
Practice Address - Phone:215-862-6363
Practice Address - Fax:215-862-6361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002909L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1801926787Medicare ID - Type UnspecifiedNPI #
PA1518081785Medicare ID - Type UnspecifiedNPI#