Family & Sports Chiropractic, Pc

NPI 1780942557 - Chiropractor - 111N00000X

NPI Details
NPI 1780942557
Enumeration Date 04/30/2012
Last Updated 04/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RICHARD VINCENT RICHARD
Position OWNER
Phone (570) 839-9402
Fax (570) 839-9473
Practice Location
18 FORK ST
MOUNT POCONO PA, 18344-1202, US
Phone (570) 839-9402
Fax (570) 839-9473
Business Location
18 FORK ST
MOUNT POCONO PA, 18344-1202, US
Phone (570) 839-9402
Fax (570) 839-9473
Toxanomy
Taxonomy Code 111N00000X
License State Pennsylvania
License Number DC000378L
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According to our database, Family & Sports Chiropractic, Pc NPI is 1780942557, taxonomy code is 111N00000X and license number is DC000378L, license state is located at Pennsylvania. Family & Sports Chiropractic, Pc physically located at 18 Fork St, Mount Pocono PA, 18344-1202. NPI Number 1033115704 has the healthcare provider type.

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1780942557 NPI number is provided on an as is basis without warranty of any kind. 1780942557 is maintained by the National Plan & Provider Enumeration System. The contents of Family & Sports Chiropractic, Pc are for informational purposes only.