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Organization

HERITAGE CHIROPRACTIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUKE T PAVKOV D.C. (OWNER, CHIROPRACTOR)
(814) 796-0077
Entity
Organization

Contact information

Practice address
18 N PARK ROW, WATERFORD, PA 16441-8308
(814) 796-0077
(814) 796-1717
Mailing address
18 N PARK ROW, PO BOX 77, WATERFORD, PA 16441-8308
(814) 796-0077
(814) 796-1717

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019619510001
PA
Enumeration date
10/05/2009
Last updated
10/05/2009
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