Provider Demographics
NPI:1750476404
Name:SZILAGYI, IAN J (DC)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:J
Last Name:SZILAGYI
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 1:106 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-2074
Mailing Address - Country:US
Mailing Address - Phone:106-759-4321
Mailing Address - Fax:610-759-4396
Practice Address - Street 1:106 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064
Practice Address - Country:US
Practice Address - Phone:610-759-4321
Practice Address - Fax:610-759-4396
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor