Provider Demographics
NPI:1760658769
Name:JON G. GINDHART, D.C., P.C.
Entity Type:Organization
Organization Name:JON G. GINDHART, D.C., P.C.
Other - Org Name:BUCKS COUNTY SPINAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:GEARY
Authorized Official - Last Name:GINDHART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-340-3930
Mailing Address - Street 1:10 S CLINTON ST
Mailing Address - Street 2:SUITE 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:215-340-2011
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:215-340-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085855Medicare PIN