Healthcare Provider Details
I. General information
NPI: 1669557427
Provider Name (Legal Business Name): DONORA FAMILY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 MCKEAN AVE
DONORA PA
15033-1107
US
IV. Provider business mailing address
1000 MCKEAN AVE PO BOX 111
DONORA PA
15033-1107
US
V. Phone/Fax
- Phone: 724-379-6882
- Fax: 724-379-7880
- Phone: 724-379-6882
- Fax: 724-379-7880
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC-005726-L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
JOSEPH
P
POZZI
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 724-379-6882