Provider Demographics
NPI:1295965994
Name:PHILADELPHIA MEDCARE, D.C., P.C.
Entity type:Organization
Organization Name:PHILADELPHIA MEDCARE, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOWIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-920-7127
Mailing Address - Street 1:P.O. BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422
Mailing Address - Country:US
Mailing Address - Phone:610-996-0884
Mailing Address - Fax:215-699-3819
Practice Address - Street 1:4006 LANCASTER AVE.
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-387-4491
Practice Address - Fax:215-387-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-007971L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty