Provider Demographics
NPI:1740396589
Name:GINDHART, JON GEARY (DC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:GEARY
Last Name:GINDHART
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 1:10 S CLINTON ST
Mailing Address - Street 2:#106
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4220
Mailing Address - Country:US
Mailing Address - Phone:215-340-3930
Mailing Address - Fax:215-340-1022
Practice Address - Street 1:10 S CLINTON ST
Practice Address - Street 2:SUITE #106
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4220
Practice Address - Country:US
Practice Address - Phone:215-340-3930
Practice Address - Fax:215-340-1022
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009264111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085859THVMedicare PIN