Provider Demographics
NPI:1720119704
Name:BERWICK, FRANK PETER (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PETER
Last Name:BERWICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-3217
Mailing Address - Country:US
Mailing Address - Phone:215-741-1495
Mailing Address - Fax:
Practice Address - Street 1:3 HULME AVE
Practice Address - Street 2:
Practice Address - City:HULMEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19047-5638
Practice Address - Country:US
Practice Address - Phone:215-752-0494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003518L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABE551299Medicare ID - Type Unspecified