Provider Demographics
NPI:1285930586
Name:DR. ROGER CAINE, D.C., P.C.
Entity type:Organization
Organization Name:DR. ROGER CAINE, D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:CAINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-891-8300
Mailing Address - Street 1:3237 BRISTOL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2132
Mailing Address - Country:US
Mailing Address - Phone:215-891-8300
Mailing Address - Fax:215-891-8318
Practice Address - Street 1:3237 BRISTOL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2132
Practice Address - Country:US
Practice Address - Phone:215-891-8300
Practice Address - Fax:215-891-8318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty