Provider Demographics
NPI:1841318300
Name:NOAR, JILL ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:ROBIN
Last Name:NOAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 GRANDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-9547
Mailing Address - Country:US
Mailing Address - Phone:267-880-0456
Mailing Address - Fax:215-860-5224
Practice Address - Street 1:1709 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1010
Practice Address - Country:US
Practice Address - Phone:215-579-4654
Practice Address - Fax:215-860-5224
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006049L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAN0845634OtherPERSONAL CHOICE BCBS PA
PA002214Medicare ID - Type Unspecified