Provider Demographics
NPI:1447020797
Name:COMMUNITY CHIROPRACTIC LMC2 LLC
Entity type:Organization
Organization Name:COMMUNITY CHIROPRACTIC LMC2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-336-3424
Mailing Address - Street 1:1717 SWEDE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3372
Mailing Address - Country:US
Mailing Address - Phone:484-688-0664
Mailing Address - Fax:484-688-0667
Practice Address - Street 1:617 N BETHLEHEM PIKE STE C
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2507
Practice Address - Country:US
Practice Address - Phone:215-643-0700
Practice Address - Fax:215-643-0119
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEGNOLA AND MARCUSSEN CHIROPRACTIC ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty