Provider Demographics
NPI:1891097929
Name:MCCARRIN CHIROPRACTIC AND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:MCCARRIN CHIROPRACTIC AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEFRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-566-7424
Mailing Address - Street 1:436 E BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3840
Mailing Address - Country:US
Mailing Address - Phone:610-566-7424
Mailing Address - Fax:610-892-0489
Practice Address - Street 1:721 HAYES ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2137
Practice Address - Country:US
Practice Address - Phone:610-308-1454
Practice Address - Fax:610-892-0489
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCCARRIN CHIROPRACTICS AND PHYSICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-22
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty