MEDICARE: DR. RICHARD JOHN POPLAWSKI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC-004241-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	594985	OTHER	PA	BC/BS

General Provider Information

NPI Number	:	1124012570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOHN POPLAWSKI D.C.

Provider Business Mailing Address
First Line	:	4 BENEDICT ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-2102
Country	:	US
Telephone Number	:	570-655-3705
Fax Number	:	570-602-8370

Provider Business Practice Location Address
First Line	:	4 BENEDICT ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-2102
Country	:	US
Telephone Number	:	570-655-3705
Fax Number	:	570-602-8370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	06/27/2016

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