EXPERIENCE CHIROPRACTIC EAST, LLC (NPI# 1184102105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184102105 |
| Entity Type | Organization |
| Organization Name | EXPERIENCE CHIROPRACTIC EAST, LLC |
| Other Organization Name | EXPERIENCE CHIROPRACTIC |
| Practice Address |
3038 Butler Pike Conshohocken PA 19428 |
| Mailing Address |
3038 Butler Pike Conshohocken PA 19428-2115 |
| Practice Telephone | 6103377463 |
| Mailing Telephone | 6103377463 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | MAURIE CARROLL (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6103377463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | PA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Experience Chiropractic | Doing Business As Name - Organization |
| Street Address |
3038 BUTLER PIKE |
| City | CONSHOHOCKEN |
| State | PA |
| Zip Code | 19428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104341 | Nicholas Pables | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428-2115 | 2020-05-05 |
| 1063975688 | Caitlin Atkinson | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428-2115 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395149 | Kellan Katra | Physician Assistant | 400 Fayette Street, Suite 180, Conshohocken, PA 19428 | 2020-01-10 |
| 1275170151 | Barbara G. Hedges-hoffman | Counselor | 20 E 9th Ave Ste 100, Conshohocken, PA 19428 | 2019-12-10 |
| 1861986713 | Bridget Mary Parkes | Speech-Language Pathologist | 301 Harry St, Conshohocken, PA 19428 | 2018-06-14 |
| 1588155857 | Intouch Med Supply | Mastectomy Fitter | 529 Fayette St, Conshohocken, PA 19428 | 2018-05-22 |
| 1841796711 | Davita Medical Group Philadelphia, LLC | Internal Medicine | 300 Four Falls Corporate Center, 300 Conshohocken State Rd., West Conshohocken, PA 19428 | 2018-04-01 |
| 1538600853 | Dermone Dermatology Associates of The Keystone State, P.c | Dermatology | 200 Barr Harbor Drive, Four Tower Bridge, Suite 200, West Conshohocken, PA 19428 | 2017-03-20 |
| 1891156766 | Kaitlyn Oliver | Speech-Language Pathologist | 1200 River Road, Aim Academy-, Conshohocken, PA 19428 | 2016-03-18 |
| 1992122782 | Titleman Orthopedics LLC | Prosthetic/Orthotic Supplier | 1100 E Hector St Ste 390, Conshohocken, PA 19428 | 2014-03-18 |
| 1447543004 | Barbara P. Mastriano | Speech-Language Pathologist | One West Elm St. Suite 100, Mercylife Program, Conshohocken, PA 19428 | 2011-05-16 |
| 1942510136 | Ultimate Hearing Olutions Dba | Hearing Aid Equipment | 815 Fayette Street, Suite 200, Conshohocken, PA 19428 | 2010-10-21 |
| Find all providers in zip 19428 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952621179 | Heather Caitlyn Lash | Chiropractor | 404 W Ridge Pike, Suite 200, Conshohocken, PA 19428-1299 | 2010-06-10 |
| 1881925741 | Jacqueline J Russell | Chiropractor | 117 W Ridge Pike, Studio 2, Conshohocken, PA 19428-1297 | 2010-01-15 |
| 1013052372 | Lori Ceretti | Chiropractor | 911 Fayette St, Conshohocken, PA 19428-1559 | 2007-02-21 |
| 1538199492 | William Edward Muscara | Chiropractor | 921 Fayette St, Conshohocken, PA 19428-1559 | 2006-07-04 |
| 1053356576 | William M. Tsoubanos, D.c.p.c. | Chiropractor | 815 Fayette St, Conshohocken, PA 19428-1785 | 2006-06-18 |
| 1770104341 | Nicholas Pables | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428-2115 | 2020-05-05 |
| 1063975688 | Caitlin Atkinson | Chiropractor | 3038 Butler Pike, Conshohocken, PA 19428-2115 | 2019-04-10 |
| 1184132284 | Zachary Robert Riecker | Chiropractor | 408 W Ridge Pike, Conshohocken, PA 19428-1223 | 2018-01-11 |
| 1659782217 | Vitae Chiropractic and Wellness Center, LLC | Chiropractor | 911 Fayette St, Conshohocken, PA 19428-1559 | 2014-05-16 |
| 1003162157 | Beyond Chiropractic PC | Chiropractor | 404 W Ridge Pike, Suite 200, Conshohocken, PA 19428-1299 | 2012-07-26 |
| Find all providers in CONSHOHOCKEN | ||||
| City | CONSHOHOCKEN |
| Zip Code | 19428 |
Please comment or provide details below to improve the information on EXPERIENCE CHIROPRACTIC EAST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.