| Michael James Distler, DC, CCSP | |
|
56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438 | |
| (856) 240-7529 | |
| Not Available |
| Full Name | Michael James Distler |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Sports Physician |
| Location | 56 N Haddon Ave Lowr Level, Haddonfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609172832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 38MC00760100 (New Jersey) | Primary |
| 111NI0900X | Chiropractor - Internist | N-A (New York) | Secondary |
| Provider Name | Physiologic Chiropractic & Physical Therapy, Pllc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225262785 PECOS PAC ID: 8527105345 Enrollment ID: O20091028000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Distler, DC, CCSP 9 Greenvale Rd, Moorestown, NJ 08057-2234 Ph: (203) 241-4574 | Michael James Distler, DC, CCSP 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033-2438 Ph: (856) 240-7529 |
South Jersey Sports Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 56 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-240-7529 | |
Dr. Diana C Miller, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 56 N Haddon Ave, Lower Level, Haddonfield, NJ 08033 Phone: 856-420-7529 | |
South Jersey Spine & Sport Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 56 N Haddon Ave Lowr Level, Haddonfield, NJ 08033 Phone: 856-240-7529 | |
Dr. Travis Williams, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13 Tanner St, Haddonfield, NJ 08033 Phone: 856-354-0044 Fax: 856-354-1944 | |
Jon C. Baggs, D.c. Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 116 N Haddon Ave, Haddonfield, NJ 08033 Phone: 856-429-6992 | |
Garden State Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15 E Euclid Ave Ste A, Haddonfield, NJ 08033 Phone: 856-524-7006 | |
Rehab It Sport And Spine Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 807 N Haddon Ave Ste 210, Haddonfield, NJ 08033 Phone: 856-228-3100 |