Healthcare Provider Details

I. General information

NPI: 1528136959
Provider Name (Legal Business Name): JAHN CHIROPRACTIC AND CONSULTING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 LIMEKILN DRIVE
CHAMBERBURG PA
17201
US

IV. Provider business mailing address

423 LIMEKILN DRIVE
CHAMBERBURG PA
17201
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-3345
  • Fax: 717-263-0533
Mailing address:
  • Phone: 717-263-3345
  • Fax: 717-263-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC005571L
License Number StatePA

VIII. Authorized Official

Name: DR. BRADLEY A JAHN
Title or Position: PRESIDENT
Credential: DC
Phone: 717-263-3345