Provider Demographics
NPI:1003954165
Name:ONDREJCA CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:ONDREJCA CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:ONDREJCA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-437-2040
Mailing Address - Street 1:3716 LEHIGH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3437
Mailing Address - Country:US
Mailing Address - Phone:610-437-2040
Mailing Address - Fax:610-437-2024
Practice Address - Street 1:3716 LEHIGH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3437
Practice Address - Country:US
Practice Address - Phone:610-437-2040
Practice Address - Fax:610-437-2024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006972-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty