Provider Demographics
NPI:1912108713
Name:TOTAL WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:TOTAL WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP, CCN
Authorized Official - Phone:215-881-9700
Mailing Address - Street 1:215 ORTHODOX DR
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1140
Mailing Address - Country:US
Mailing Address - Phone:215-881-9700
Mailing Address - Fax:215-881-9715
Practice Address - Street 1:261 OLD YORK RD
Practice Address - Street 2:SUITE 435
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:215-881-9700
Practice Address - Fax:215-881-9715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2008-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 3631111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001775688OtherHIGHMARK
PA2457877000OtherBLUE CROSS BLUE SHIELD
PA2457877000OtherBLUE CROSS BLUE SHIELD