Dr. Jonathan E Jack DC Pllc

NPI #1194017806 in Creekside, Pennsylvania

Provider Information

NPI Number: 1194017806
Entity Type: Organization
Organization Name: Dr. Jonathan E Jack DC Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 12, 2011
Last Updated: May 12, 2011

Practice Location

Address: 2118 KETTERING RD
City: Creekside
State: Pennsylvania
ZIP Code: 15732-9237
Phone: (724) 397-9531

Authorized Official

Name: DR. JONATHAN ELLIOTT JACK, DC
Title: DOCTOR/OWNER
Phone: (724) 397-9531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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