Provider Demographics
NPI:1932365103
Name:MCGLYNN CHIROPRACTIC
Entity Type:Organization
Organization Name:MCGLYNN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCGLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-491-7533
Mailing Address - Street 1:2237 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1006
Mailing Address - Country:US
Mailing Address - Phone:215-491-7533
Mailing Address - Fax:215-491-9446
Practice Address - Street 1:2237 VALLEY RD
Practice Address - Street 2:
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1006
Practice Address - Country:US
Practice Address - Phone:215-491-7533
Practice Address - Fax:215-491-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006316L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty