Provider Demographics
NPI:1528474327
Name:GULPH MILLS CHIROPRACTIC CENTER, PC
Entity type:Organization
Organization Name:GULPH MILLS CHIROPRACTIC CENTER, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:484-751-5037
Mailing Address - Street 1:570 W DEKALB PIKE STE 113
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3071
Mailing Address - Country:US
Mailing Address - Phone:484-751-5037
Mailing Address - Fax:484-681-4608
Practice Address - Street 1:570 W DEKALB PIKE STE 113
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3071
Practice Address - Country:US
Practice Address - Phone:484-751-5037
Practice Address - Fax:484-681-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006303L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty