Justin C Graf, D.C.
Individual provider Active NPI Chiropractor · Bath, PA
NPI 1619159092 · NPPES record last updated Nov 28, 2007
Key facts
- NPI
- 1619159092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC009856 (PA)
- Practice address
- 151 N Chestnut St
Bath, PA 18014-1138 - Phone
- (610) 837-8854
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009856 | PA | Yes |
Addresses
Primary practice location
151 N Chestnut St
Bath, PA 18014-1138
Mailing address
151 N Chestnut St
Bath, PA 18014-1138
Phone (610) 837-8854
Other providers in Bath, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.