Jonathan Elliott Jack in Creekside - Chiropractor
Jonathan Elliott Jack - NPI 1730114174
Jonathan Elliott Jack is a Chiropractor in Creekside, Pennsylvania. Jonathan Elliott Jack practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jonathan Elliott Jack is 1730114174. The last update date is 2007-07-08.
Jonathan Elliott Jack's current location address is 2118 Kettering Rd, Creekside, Pennsylvania. You can contact this provider via phone number 7243979531. The mailing address for Jonathan Elliott Jack is 2118 Kettering Rd, Creekside, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Elliott Jack |
|---|---|
| Address | 2118 Kettering Rd, Creekside, Pennsylvania |
| Phone Number | 7243979531 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1730114174 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2118 Kettering Rd |
|---|---|
| City | Creekside |
| State | Pennsylvania (PA) |
| Post Code | 157329237 |
| Phone Number | 7243979531 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC005990L |
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Definition: 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 inte |
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What is the unique 10-digit identifier code assigned to Jonathan Elliott Jack by the Centers for Medicare & Medicaid Services?
The Jonathan Elliott Jack has been issued the NPI (National Provider Identifier) 1730114174 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jonathan Elliott Jack's physical address?
The Jonathan Elliott Jack is physically located at 2118 Kettering Rd, in the city of Creekside, PA, with the postal code 157329237.
What is Jonathan Elliott Jack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jonathan Elliott Jack is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730114174 to Jonathan Elliott Jack?
The Jonathan Elliott Jack received its 1730114174 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.
When was the information related to Jonathan Elliott Jack most recently updated or refreshed?
The details pertaining to the Jonathan Elliott Jack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH