Provider Demographics
NPI:1275985574
Name:CONNOR, JOHN S (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:S
Last Name:CONNOR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DRESHER RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2027
Mailing Address - Country:US
Mailing Address - Phone:215-279-8707
Mailing Address - Fax:
Practice Address - Street 1:420 DRESHER RD
Practice Address - Street 2:SUITE 6
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2027
Practice Address - Country:US
Practice Address - Phone:215-279-8707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007873L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor