Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC003615L | PA |
N | 111NR0200X | Radiology | DC 003615 L | PA |
N | 213ER0200X | Radiology | DC 003615 L | PA |
N | 111NR0400X | Rehabilitation Chiropractor | DC 003615 L | PA |
NPI | 1902810849 |
---|---|
Provider Name | Dr. Albert Joseph Skocik |
First Address | Harrisburg, PA 17112-4062 |
Second Address | Harrisburg, PA 17112-4062 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U08237 | (02) | PA |