Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC005449-L | PA |
NPI | 1003864224 |
---|---|
Provider Name | Levent Erdogan |
First Address | Yardley, PA 19067-1401 |
Second Address | Yardley, PA 19067-1401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U44756 | (02) | PA |