Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC010440 | PA |
NPI | 1003167826 |
---|---|
Provider Name | Dr. John J Vanore |
First Address | Furlong, PA 18925-1175 |
Second Address | Furlong, PA 18925-1175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2012 |
Last Update Date | 20/09/2012 |