Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC010670 | PA |
NPI | 1003152190 |
---|---|
Provider Name | Dr. Patrick J Connors |
First Address | Mountain Top, PA 18707-1119 |
Second Address | Mountain Top, PA 18707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2012 |
Last Update Date | 08/07/2020 |