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Dr. Michael John Portonova, DC
Chiropractor in Hazleton, Pennsylvania
NPI 1790017176

Michael John Portonova is a Chiropractor based in Hazleton, PA. Michael John Portonova practices in Hazleton, PA and has the professional credentials of DC. The NPI Number for Michael John Portonova is 1790017176 and holds a License No. DC 010381 (Pennsylvania).

The current practice location address for Michael John Portonova is 943 North Church Street, Hazleton, PA and can be reached out via phone at 570-401-1916.

Location: 943 North Church Street, Hazleton, PA, 18201-1800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790017176
Provider Name
Michael John Portonova
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
943 North Church Street, Hazleton, PA, 18201-1800
Phone Number
570-401-1916
Fax Number
Provider Enumeration Date
02/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12215846 01 CAQH
institution
Provider Business Practice Location Address Details
Address
943 North Church Street
City
Hazleton
State
Pennsylvania
Zip
18201
Phone Number
570-401-1916
Fax Number
person
Provider Business Mailing Address Details
Address
943 North Church Street
City
Hazleton
State
Pennsylvania
Zip
18201
Phone Number
570-401-1916
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC 010381 (Pennsylvania)
Definition
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.
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