Healthcare Provider Details

I. General information

NPI: 1811096910
Provider Name (Legal Business Name): JAMES ANTHONY WARD DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 N MAIN ST SUITE C-2
DUBLIN PA
18917
US

IV. Provider business mailing address

PO BOX 321 174 N MAIN ST
DUBLIN PA
18917
US

V. Phone/Fax

Practice location:
  • Phone: 215-249-1188
  • Fax: 215-249-9686
Mailing address:
  • Phone: 215-249-1188
  • Fax: 215-249-9686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC3508
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: