Provider Demographics
NPI:1134389638
Name:GLOGOWSKI, CHRISTA (DC)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:GLOGOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:
Other - Last Name:VANBUREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:444 CREAMERY WAY
Mailing Address - Street 2:STE 400
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2534
Mailing Address - Country:US
Mailing Address - Phone:610-524-6680
Mailing Address - Fax:610-524-6681
Practice Address - Street 1:1355 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3413
Practice Address - Country:US
Practice Address - Phone:215-886-4828
Practice Address - Fax:215-886-2574
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor