Organization
MCKOLOSKY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS G MCKOLOSKY D.C. (CHIROPRACTOR)
(814) 269-3116
Entity
Organization
Contact information
Practice address
401 THEATRE DR, JOHNSTOWN, PA 15904-2838
(814) 269-3116
(814) 266-8471
Mailing address
401 THEATRE DR, JOHNSTOWN, PA 15904-2838
(814) 269-3116
(814) 266-8471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014103350003
—
PA
05
—
0014188250002
—
PA
Enumeration date
03/30/2007
Last updated
11/19/2007
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