Individual provider · Type 1 NPI
Jack K. Vandervort, DC
Chiropractor · Meadville, PA
NPI number
1124082599
Active
Practice location
11581 State Hwy 98
Meadville, PA 16335-7321
Fax (814) 337-8767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC001577L (PA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1124082599
Jack K. Vandervort, DC's National Provider Identifier is 1124082599, issued on Apr 13, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meadville, PA. The record was last updated on Apr 14, 2010.