Provider Demographics
NPI:1669557427
Name:DONORA FAMILY CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:DONORA FAMILY CHIROPRACTIC CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:POZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-379-6882
Mailing Address - Street 1:1000 MCKEAN AVE
Mailing Address - Street 2:PO BOX 111
Mailing Address - City:DONORA
Mailing Address - State:PA
Mailing Address - Zip Code:15033-1107
Mailing Address - Country:US
Mailing Address - Phone:724-379-6882
Mailing Address - Fax:724-379-7880
Practice Address - Street 1:1000 MCKEAN AVE
Practice Address - Street 2:
Practice Address - City:DONORA
Practice Address - State:PA
Practice Address - Zip Code:15033-1107
Practice Address - Country:US
Practice Address - Phone:724-379-6882
Practice Address - Fax:724-379-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005726-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU46907Medicare UPIN