Provider Demographics
NPI:1740394006
Name:JONAS E MARRY D.C.
Entity Type:Organization
Organization Name:JONAS E MARRY D.C.
Other - Org Name:FAMILY FIRST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-941-9507
Mailing Address - Street 1:3150 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3189
Mailing Address - Country:US
Mailing Address - Phone:724-941-9507
Mailing Address - Fax:724-941-9504
Practice Address - Street 1:3150 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-3189
Practice Address - Country:US
Practice Address - Phone:724-941-9507
Practice Address - Fax:724-941-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007510L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1750343430OtherDOCTOR'S NPI NUMBER
PA1750343430OtherDOCTOR'S NPI NUMBER