Provider Demographics
NPI:1306168596
Name:AZZATORI CHIROPRACTIC CENTER OF DOYLESTOWN, INC.
Entity type:Organization
Organization Name:AZZATORI CHIROPRACTIC CENTER OF DOYLESTOWN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:YERKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-538-2266
Mailing Address - Street 1:295 LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4017
Mailing Address - Country:US
Mailing Address - Phone:267-247-7000
Mailing Address - Fax:267-247-0509
Practice Address - Street 1:295 LOGAN ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4017
Practice Address - Country:US
Practice Address - Phone:267-247-7000
Practice Address - Fax:267-247-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005011L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty