Provider Demographics
NPI:1972721231
Name:FRANK J. MCCAFFERY IV,D.C.,P.C.
Entity Type:Organization
Organization Name:FRANK J. MCCAFFERY IV,D.C.,P.C.
Other - Org Name:ACADEMY INJURY AND HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCAFFERY
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:215-637-1212
Mailing Address - Street 1:10431 ACADEMY RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1126
Mailing Address - Country:US
Mailing Address - Phone:215-637-1212
Mailing Address - Fax:215-637-1577
Practice Address - Street 1:10431 ACADEMY RD
Practice Address - Street 2:SUITE C
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1126
Practice Address - Country:US
Practice Address - Phone:215-637-1212
Practice Address - Fax:215-637-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005173L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMCC470204Medicare ID - Type Unspecified