Provider Demographics
NPI:1306841184
Name:KONDNER, THOMAS JOHN (DC,)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOHN
Last Name:KONDNER
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 1:120 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2513
Mailing Address - Country:US
Mailing Address - Phone:717-630-9292
Mailing Address - Fax:717-630-0488
Practice Address - Street 1:120 BROADWAY
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2513
Practice Address - Country:US
Practice Address - Phone:717-630-9292
Practice Address - Fax:717-630-0488
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004797-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1124143664OtherTYPE 2 NPI # FOR BUSINESS
PA1306841184OtherTYPE 1 NPI # INDIVIDUAL
PA1124143664OtherTYPE 2 NPI # FOR BUSINESS