Provider Demographics
NPI:1902925944
Name:DUBLIN FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:DUBLIN FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-249-1188
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:174 N. MAIN STREET
Mailing Address - City:DUBLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18917-0321
Mailing Address - Country:US
Mailing Address - Phone:215-249-1188
Mailing Address - Fax:215-249-9686
Practice Address - Street 1:174 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:PA
Practice Address - Zip Code:18917-0321
Practice Address - Country:US
Practice Address - Phone:215-249-1188
Practice Address - Fax:215-249-9686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC3508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA505409OtherAMERIHEALTH
PA0016919000OtherKEYSTONE HEALTH PLAN EAST
PA258834OtherHIGHMARK BLUE SHIELD
PAP83159OtherOXFORD
PA258834OtherBLUE CHOICE
PA0016919000OtherPERSONAL CHOICE
PA382000OtherUNITED HEALTHCARE
PA505409OtherAMERIHEALTH