Provider Demographics
NPI:1134178650
Name:SEMPLICE, TODD A (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:A
Last Name:SEMPLICE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-1663
Mailing Address - Country:US
Mailing Address - Phone:610-722-0240
Mailing Address - Fax:610-571-3359
Practice Address - Street 1:616 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-1663
Practice Address - Country:US
Practice Address - Phone:610-722-0240
Practice Address - Fax:610-571-3359
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2048603000OtherPERSONAL CHOICE
PASE1355978OtherHIGHMARK BCBS
PA594307OtherHEALTH AMERICA/HEALTH ASSURANCE
PA7249761OtherCIGNA PPO
PA01896618Medicaid
PA1227547OtherAETNA HMO
PA7809527OtherAETNA PPO
PA594307OtherHEALTH AMERICA/HEALTH ASSURANCE
PA056644LZLMedicare PIN