Provider Demographics
NPI:1912010414
Name:CHIROPRACTIC PHYSICIANS GROUP OF BUCKS COUNTY
Entity Type:Organization
Organization Name:CHIROPRACTIC PHYSICIANS GROUP OF BUCKS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNAMARIE
Authorized Official - Middle Name:F
Authorized Official - Last Name:VALERIOTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-672-1545
Mailing Address - Street 1:399 YORK RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4516
Mailing Address - Country:US
Mailing Address - Phone:215-672-1545
Mailing Address - Fax:
Practice Address - Street 1:399 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4516
Practice Address - Country:US
Practice Address - Phone:215-672-1545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008748111N00000X
PADC008765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001529426OtherHIGHMARK ID
PA2219104000OtherHIGHMARK HMO
PA096393Medicare UPIN