Provider Demographics
NPI:1700522117
Name:SLOVONIC, PATRICK DONALD JR (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DONALD
Last Name:SLOVONIC
Suffix:JR
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 1:5300 SAND TRAP CT
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7783
Mailing Address - Country:US
Mailing Address - Phone:412-445-3864
Mailing Address - Fax:
Practice Address - Street 1:105 WAXHAW PROFESSIONAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-5018
Practice Address - Country:US
Practice Address - Phone:704-243-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5453111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor