Provider Demographics
NPI:1518000132
Name:SZOSTEK, JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:SZOSTEK
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 1:107 E MAIN ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4913
Mailing Address - Country:US
Mailing Address - Phone:610-277-7520
Mailing Address - Fax:610-277-8450
Practice Address - Street 1:107 E MAIN ST
Practice Address - Street 2:SUITE 309
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4913
Practice Address - Country:US
Practice Address - Phone:610-277-7520
Practice Address - Fax:610-277-8450
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007146L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SZ035736Medicare ID - Type Unspecified
U79148Medicare UPIN