Jonathan E Jack (NPI# 1730114174, PAC ID# 0143393363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1730114174 |
| PAC ID by PECOS | 0143393363 |
| Professional Enrollment ID | I20080722000315 |
| Full Name | Jonathan E Jack |
| Address |
1961 Philadelphia St Indiana PA 15701-1542 |
| Phone Number | 7243491168 |
| Gender | M |
| Medical School | SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1961 Philadelphia St, Indiana, PA 15701-1542 | 7243491168 |
| Street Address |
1961 PHILADELPHIA ST |
| City | INDIANA |
| State | PA |
| Zip | 15701-1542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn E Martel | Physical Therapy | Center for Orthopaedics and Sports Medicine PC | 120 Irmc Dr, Suite 160, Indiana, PA 15701-0788 |
| Alan M Keefe | Physician Assistant | Center for Orthopaedics and Sports Medicine | 120 Irmc Dr, Indiana, PA 15701-0788 |
| Renea Christine Shaffer | Physical Therapy | Center for Orthopaedics and Sports Medicine | 120 Irmc Dr, Suite 160, Indiana, PA 15701-0788 |
| William J Hocter Jr. | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Nicole B Vittone | Physician Assistant | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Jamie Csw Mack | Clinical Social Worker | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Peter John Hauber | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Jill M Lamison | Clinical Social Worker | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Deanna C Rezk | Nurse Practitioner | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Glenn M Losack | Psychiatry | Community Guidance Center | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 |
| Find all physicians in zip 15701 | |||
| City | INDIANA |
| Zip Code | 15701 |
| Specialty | CHIROPRACTIC |
| City + Specialty | INDIANA + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.