Provider Demographics
NPI:1538263900
Name:TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.
Entity type:Organization
Organization Name:TRI-COUNTY CHIROPRACTIC OF DOUGLASSVILLE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-385-1444
Mailing Address - Street 1:990 BEN FRANKLIN HWY E
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9547
Mailing Address - Country:US
Mailing Address - Phone:610-385-1444
Mailing Address - Fax:610-385-1441
Practice Address - Street 1:990 BEN FRANKLIN HWY E
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-9547
Practice Address - Country:US
Practice Address - Phone:610-385-1444
Practice Address - Fax:610-385-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty