=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275349557
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOR HEALTH CHIROPRACTIC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2024
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 720 JOHNSVILLE BLVD STE 900
-----------------------------------------------------
City | WARMINSTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18974-3538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-595-3010
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 720 JOHNSVILLE BLVD STE 900
-----------------------------------------------------
City | WARMINSTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18974-3538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-595-3010
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRINCIPAL CHIROPRACTOR
-----------------------------------------------------
Name | DR. AUSTIN POLLACK
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 215-595-3010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------