Dr. Jonathan E Jack Dc Pllc is a
Chiropractor based in Creekside, Pennsylvania. Dr. Jonathan E Jack Dc Pllc is licensed to practice in Pennsylvania (license number DC 005990L) and their current practice location is
2118 Kettering Rd, Creekside, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at
(724) 397-9531.
NPI number for Dr. Jonathan E Jack Dc Pllc is 1194017806 and their current mailing address is 2118 Kettering Rd, Creekside, Pennsylvania. Dr. Jonathan E Jack Dc Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1194017806.
Healthcare Provider's Profile
Full Name | Dr. Jonathan E Jack Dc Pllc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 2118 Kettering Rd, Creekside, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194017806
- Provider Enumeration Date: 05/12/2011
- Last Update Date: 05/12/2011
Medical Identifiers
Medical identifiers for Dr. Jonathan E Jack Dc Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194017806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC 005990L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr. Jonathan E Jack Dc Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr. Jonathan E Jack Dc Pllc 2118 Kettering Rd, Creekside, PA 15732-9237 Ph: (724) 397-9531 | Dr. Jonathan E Jack Dc Pllc 2118 Kettering Rd, Creekside, PA 15732-9237 Ph: (724) 397-9531 |
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