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Contact Information

VITASOURCE CHIROPRACTIC & REHABILITATION LLC
1831 W CHELTENHAM AVE
ELKINS PARK, PA19027-1049
 Phone: 215-276-2250
 Fax: 215-276-2110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for VITASOURCE CHIROPRACTIC REHABILITATION LLC · (Female)

NPI # 1003257031
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2013
Last updated 07/05/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DC010306
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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