Provider Demographics
NPI:1841203841
Name:GOLDFINE, RICK (DC)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:
Last Name:GOLDFINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:GOLDFINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:270 LANCASTER AVE
Mailing Address - Street 2:C-1
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1858
Mailing Address - Country:US
Mailing Address - Phone:610-408-9400
Mailing Address - Fax:610-408-9394
Practice Address - Street 1:270 LANCASTER AVE
Practice Address - Street 2:C-1
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1858
Practice Address - Country:US
Practice Address - Phone:610-408-9400
Practice Address - Fax:610-408-9394
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006276L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA002972Medicare PIN
PAU68848Medicare UPIN