Provider Demographics
NPI:1972605129
Name:TRI-COUNTY CHIROPRACTIC P C
Entity Type:Organization
Organization Name:TRI-COUNTY CHIROPRACTIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:SINNOTT
Authorized Official - Last Name:TREACY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-327-8090
Mailing Address - Street 1:1954 E HIGH ST
Mailing Address - Street 2:STE A
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3210
Mailing Address - Country:US
Mailing Address - Phone:610-327-8090
Mailing Address - Fax:610-327-0970
Practice Address - Street 1:1954 E HIGH ST
Practice Address - Street 2:STE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3210
Practice Address - Country:US
Practice Address - Phone:610-327-8090
Practice Address - Fax:610-327-0970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA044684Medicare ID - Type UnspecifiedGROUP NUMBER