Organization
PORTONOVA CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN PORTONOVA D.C. (OWNER)
(570) 861-8502
Entity
Organization
Contact information
Practice address
943 N CHURCH ST, HAZLETON, PA 18201-1800
(570) 861-8502
(570) 861-8170
Mailing address
943 N CHURCH ST, HAZLETON, PA 18201-1800
(570) 861-8502
(570) 861-8170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010381
PA
Other
Enumeration date
02/21/2012
Last updated
02/04/2016
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