Organization
POCONO CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS CARTON D.C. (PRESIDENT)
(570) 226-4119
Entity
Organization
Contact information
Practice address
784 PURDYTOWN TPKE, LAKEVILLE, PA 18438-4019
(570) 226-4119
Mailing address
784 PURDYTOWN TPKE, LAKEVILLE, PA 18438-4019
(570) 226-4119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC003462L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350018284
RAILROAD MEDICARE
PA
01
—
536611
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
06/10/2006
Last updated
05/15/2008
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