Individual provider · Type 1 NPI
Carl Jackson Baccellieri, DC
Chiropractor · Kennett Square, PA
NPI number
1023877370
Active
Practice location
226 E State St
Kennett Square, PA 19348-3125
Mailing address
2 Willow Green Ln
Kennett Square, PA 19348-1765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC011912 (PA) |
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.
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About NPI 1023877370
Carl Jackson Baccellieri, DC's National Provider Identifier is 1023877370, issued on Mar 18, 2024. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Kennett Square, PA. The record was last updated on Mar 18, 2024.