Provider Demographics
NPI:1548690266
Name:WOROBEY, VANESSA (DC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:WOROBEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 OLECKNA ST
Mailing Address - Street 2:
Mailing Address - City:THROOP
Mailing Address - State:PA
Mailing Address - Zip Code:18512-3319
Mailing Address - Country:US
Mailing Address - Phone:570-885-9558
Mailing Address - Fax:
Practice Address - Street 1:1429 ELECTRIC ST
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2016
Practice Address - Country:US
Practice Address - Phone:570-885-9558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor