Granovsky, Larisa
Granovsky, Larisa is an sole proprietor health care provider with primary practice located at 842 Red Lion Rd #5, Philadelphia PA 19115-1475. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Granovsky, Larisa can be contacted via phone (215) 464-0404.Contact Information
Primary practice address
842 Red Lion Rd #5
Philadelphia PA 19115-1475
Phone: (215) 464-0404
Fax: (215) 464-0683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC-006295-L | Pennsylvania |
Profile Details
| NPI number | 1285620757 |
|---|---|
| LBN Legal business name | Granovsky, Larisa |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285620757 | NPPES |
| Pennsylvania | MEDICAID | 0015288270001 |
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