Provider Demographics
NPI:1154375657
Name:KAPLAN CHIROPRACTIC, PC
Entity type:Organization
Organization Name:KAPLAN CHIROPRACTIC, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-576-7676
Mailing Address - Street 1:115 E GLENSIDE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4618
Mailing Address - Country:US
Mailing Address - Phone:215-576-7676
Mailing Address - Fax:215-576-7656
Practice Address - Street 1:115 E GLENSIDE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4618
Practice Address - Country:US
Practice Address - Phone:215-576-7676
Practice Address - Fax:215-576-7656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003885-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0136583000OtherPERSONAL CHOICE/HIGHMARK
PA5968655OtherAETNA PPO/POS
PA5968655OtherAETNA PPO/POS