JACK K. VANDERVORT NPI 1285696773

NPI Information

  • NPI: 1285696773
  • Provider Name: JACK K. VANDERVORT
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY CHIROPRACTIC CENTER
  • Address: 11581 STATE HWY 98
    MEADVILLE, PA
    ZIP 16335
  • Phone: (814) 336-3434

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NPI Details

JACK K. VANDERVORT is a chiropractor in Meadville, PA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JACK K. VANDERVORT NPI is 1285696773. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Chiropractic Center.

The provider's business location address is:

11581 STATE HWY 98
MEADVILLE, PA
ZIP 16335-321
Phone: (814) 336-3434
Fax: (814) 337-8767

The provider's authorized official is Maureen Elaine Vandervort .
The authorized official title is Office Manager and has the following contact phone number (814) 336-3434.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 4/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10638609MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21007313200006MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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