Healthcare Provider Details

I. General information

NPI: 1902810849
Provider Name (Legal Business Name): ALBERT JOSEPH SKOCIK D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5431 JONESTOWN RD
HARRISBURG PA
17112-4062
US

IV. Provider business mailing address

5431 JONESTOWN RD
HARRISBURG PA
17112-4062
US

V. Phone/Fax

Practice location:
  • Phone: 717-540-8448
  • Fax: 717-540-6233
Mailing address:
  • Phone: 717-540-8448
  • Fax: 717-540-6233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC003615L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC 003615 L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberDC 003615 L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: