Jangdhari Family Chiropractic PC
Organization Active NPI Chiropractor · Intercourse, PA
NPI 1376835637 · NPPES record last updated Oct 15, 2014
Key facts
- NPI
- 1376835637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC002272L (PA)
- Legal business name
- JANGDHARI FAMILY CHIROPRACTIC PC
- Practice address
- 7 Center Street
Intercourse, PA 17534-0067 - Phone
- (717) 768-7148
- Fax
- (717) 768-7149
- NPI assigned
- May 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Jessica Kathleen Riehl, D.C.
- Title
- Chiropractor
- Phone
- (717) 768-7148
Practitioners 2
-
Jessica Kathleen Riehl, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150121001083 | PA | Part B Supplier - Clinic/Group Practice | 0547584674 |
Receives reassigned benefits from 2 practitioners Practice locations: Intercourse, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC002272L | PA | Yes |
| Chiropractor |
111N00000X | DC009872 | PA |
Addresses
Primary practice location
7 Center Street
Intercourse, PA 17534-0067
Mailing address
PO Box 67
Intercourse, PA 17534-0067
Phone (717) 768-7148
Other providers in Intercourse, PA
All providers in Intercourse, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.