Individual provider · Type 1 NPI
Jonathan Elliott Jack, DC
Chiropractor · Creekside, PA
NPI number
1730114174
Active
Practice location
2118 Kettering Rd
Creekside, PA 15732-9237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC005990L (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
About NPI 1730114174
Jonathan Elliott Jack, DC's National Provider Identifier is 1730114174, issued on Jul 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Creekside, PA. The record was last updated on Jul 8, 2007.