Individual
DR. JODI K FORCEY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
706 SPRUCE ALLEY, HOUTZDALE, PA 16651-1304
(814) 378-8687
(814) 378-7740
Mailing address
706 SPRUCE ALLEY, HOUTZDALE, PA 16651-1304
(814) 378-8687
(814) 378-7740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004997L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013048240003
—
PA
01
—
350035933
RAILROAD MEDICARE
PA
01
—
424706
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
12/16/2005
Last updated
07/29/2016
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