Jack K. Vandervort in Meadville - Chiropractor

Jack K. Vandervort - NPI 1285696773

Jack K. Vandervort is a Chiropractor in Meadville, Pennsylvania. Jack K. Vandervort practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack K. Vandervort is 1285696773. The last update date is 2010-04-28.

Jack K. Vandervort's current location address is 11581 State Hwy 98, Meadville, Pennsylvania. You can contact this provider via phone number 8143363434 and fax number 8143378767. The mailing address for Jack K. Vandervort is 11581 State Hwy 98, Meadville, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jack K. Vandervort
Address 11581 State Hwy 98, Meadville, Pennsylvania
Phone Number 8143363434
Fax Number 8143378767
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Vandervort Elaine Maureen
Telephone Number 8143363434

NPI Number Detail

NPI Number 1285696773
Provider Enumeration Date 2006-04-03
Last Updated Date 2010-04-28

Provider Mailing Address Detail

Address 11581 State Hwy 98
City Meadville
State Pennsylvania (PA)
Post Code 163357321
Phone Number 8143363434
Fax Number 8143378767

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007313200006 PA --

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FAQs about Jack K. Vandervort

What is the unique identification code assigned to Jack K. Vandervort by the Centers for Medicare & Medicaid Services?

The Jack K. Vandervort has been issued the NPI (National Provider Identifier) 1285696773. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jack K. Vandervort located?

The Jack K. Vandervort is located at 11581 State Hwy 98, Meadville, PA 163357321.

What is Jack K. Vandervort's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jack K. Vandervort's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When did the Jack K. Vandervort receive its 1285696773?

The Jack K. Vandervort was issued its 1285696773 on 2006-04-03, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Jack K. Vandervort most recently updated or revised?

The details related to Jack K. Vandervort, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-28.

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