Healthcare Provider Details

I. General information

NPI: 1326106634
Provider Name (Legal Business Name): TUROSKY CHIROPRACTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 MAIN STREET
EDWARDSVILLE PA
18704-3232
US

IV. Provider business mailing address

420 MAIN STREET
EDWARDSVILLE PA
18704-3232
US

V. Phone/Fax

Practice location:
  • Phone: 570-287-8893
  • Fax: 570-288-7810
Mailing address:
  • Phone: 570-287-8893
  • Fax: 570-288-7810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOHN H TUROSKY
Title or Position: CHIROPRACTOR PARTNER
Credential: DC
Phone: 570-287-8893