Provider Demographics
NPI:1144351263
Name:KRIMMEL, ELIZABETH ANN (DC)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANN
Last Name:KRIMMEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-1919
Mailing Address - Country:US
Mailing Address - Phone:215-402-0146
Mailing Address - Fax:215-402-0148
Practice Address - Street 1:1107 BETHLEHEM PIKE
Practice Address - Street 2:SUITE 214
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-1919
Practice Address - Country:US
Practice Address - Phone:215-402-0146
Practice Address - Fax:215-402-0148
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006383L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000459Medicare ID - Type Unspecified