Organization
JACK K. VANDERVORT
Active
Other names
Family Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN ELAINE VANDERVORT (OFFICE MANAGER)
(814) 336-3434
Entity
Organization
Contact information
Practice address
11581 STATE HWY 98, MEADVILLE, PA 16335-7321
(814) 336-3434
(814) 337-8767
Mailing address
11581 STATE HWY 98, MEADVILLE, PA 16335-7321
(814) 336-3434
(814) 337-8767
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007313200006
—
PA
Enumeration date
04/03/2006
Last updated
04/28/2010
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