Organization
ROSS CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LESLIE ROSS D.C. (OWNER)
(814) 266-3911
Entity
Organization
Contact information
Practice address
2831 BEDFORD ST, JOHNSTOWN, PA 15904-1846
(814) 266-3911
(814) 266-4315
Mailing address
411 SALMON AVE, JOHNSTOWN, PA 15904-2318
(814) 266-3019
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC004889L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013999170004
—
PA
Enumeration date
01/03/2007
Last updated
08/22/2020
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