Jonathan Elliott Jack, D.C.
Chiropractor · Creekside, PA
Practice location
2118 Kettering RdCreekside, PA 15732-9237
- Phone
- (724) 397-9531
NPI record
- NPI
- 1730114174
- Entity type
- Individual (Type 1)
- Enumeration date
- July 12, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
DC005990L | PA |
About Dr. Jack
Jonathan Elliott Jack, D.C. is a healthcare provider 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 1730114174 was assigned on July 12, 2006 and the record was last updated on July 8, 2007.
Dr. Jack lists a license in the registry: #DC005990L (PA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jonathan Elliott Jack, D.C.?
The NPI number is 1730114174.
What is the phone number of Dr. Jack?
The phone number listed for the practice location is (724) 397-9531.
Where is Dr. Jack located?
2118 Kettering Rd, Creekside, PA 15732-9237.
What is the taxonomy code for Dr. Jack?
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
- Dr. Jonathan E Jack DC PLLC2118 Kettering Rd