Healthcare Provider Details

I. General information

NPI: 1902925944
Provider Name (Legal Business Name): DUBLIN FAMILY CHIROPRACTIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 N. MAIN STREET
DUBLIN PA
18917-0321
US

IV. Provider business mailing address

PO BOX 321 174 N. MAIN STREET
DUBLIN PA
18917-0321
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: DR. JAMES A WARD
Title or Position: DOCTOR
Credential: DC
Phone: 215-249-1188