Dr. Jonathan E Jack DC PLLC
Chiropractor · Creekside, PA
Practice location
2118 Kettering RdCreekside, PA 15732-9237
- Phone
- (724) 397-9531
NPI record
- NPI
- 1194017806
- Entity type
- Organization (Type 2)
- Enumeration date
- May 12, 2011
- Last updated
- May 12, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
DC 005990L | PA |
Authorized official
- Name
- Dr. Jonathan Elliott Jack, DC
- Title
- Doctor/Owner
- Phone
- (724) 397-9531
About Dr. Jonathan E Jack DC PLLC
Dr. Jonathan E Jack DC PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2118 Kettering Rd, Creekside, PA 15732-9237. The NPI number 1194017806 was assigned on May 12, 2011 and the record was last updated on May 12, 2011.
Dr. Jonathan E Jack DC PLLC lists a license in the registry: #DC 005990L (PA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Jonathan Elliott Jack, DC, Doctor/Owner.
Frequently asked questions
What is the NPI number of Dr. Jonathan E Jack DC PLLC?
The NPI number is 1194017806.
What is the phone number of Dr. Jonathan E Jack DC PLLC?
The phone number listed for the practice location is (724) 397-9531.
Where is Dr. Jonathan E Jack DC PLLC located?
2118 Kettering Rd, Creekside, PA 15732-9237.
What is the taxonomy code for Dr. Jonathan E Jack DC PLLC?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Chiropractor providers in Creekside
- Jonathan Elliott Jack, D.C.2118 Kettering Rd