Provider Demographics
NPI:1720241755
Name:KATZ FAMILY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:KATZ FAMILY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLORINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTE-KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CC
Authorized Official - Phone:610-741-6405
Mailing Address - Street 1:9 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1851
Mailing Address - Country:US
Mailing Address - Phone:610-741-6405
Mailing Address - Fax:610-741-6407
Practice Address - Street 1:9 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1851
Practice Address - Country:US
Practice Address - Phone:610-741-6405
Practice Address - Fax:610-741-6407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003948L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
658474Medicare PIN
PAU12517Medicare UPIN