Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC008918 | PA |
NPI | 1124090923 |
---|---|
Provider Name | Dr. Jonathan R Kropf |
First Address | Glen Mills, PA 19342-1675 |
Second Address | Glen Mills, PA 19342-1675 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 28/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8918 | PA LICENSE NUMBER (01) | PA |