Provider Demographics
NPI:1346367117
Name:KENT M. OZMAN
Entity Type:Organization
Organization Name:KENT M. OZMAN
Other - Org Name:STARKENT CHIROPRACTIC & KINESIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:M
Authorized Official - Last Name:OZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-746-6543
Mailing Address - Street 1:819 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9781
Mailing Address - Country:US
Mailing Address - Phone:610-746-6543
Mailing Address - Fax:
Practice Address - Street 1:195 NAZARETH PIKE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-9497
Practice Address - Country:US
Practice Address - Phone:610-746-6543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-24
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005661L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02913400OtherCAPITAL BLUE CROSS
PA814582OtherHIGHMARK