Provider Demographics
NPI:1437368594
Name:JANOWSKI FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JANOWSKI FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:JANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC DOCTOR OF CHIROPR
Authorized Official - Phone:570-820-3366
Mailing Address - Street 1:18 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18706-2246
Mailing Address - Country:US
Mailing Address - Phone:570-820-3366
Mailing Address - Fax:570-820-7795
Practice Address - Street 1:18 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ASHLEY
Practice Address - State:PA
Practice Address - Zip Code:18706-2246
Practice Address - Country:US
Practice Address - Phone:570-820-3366
Practice Address - Fax:570-820-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA005879L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA812017OtherFIRST PRIORITY
PA1650952OtherBLUE CROSS BLUE SHIELD
PA529266Medicare ID - Type Unspecified
U65074Medicare UPIN