Provider Demographics
NPI:1154522084
Name:MARCUS, JUSTINE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JUSTINE
Middle Name:MARIE
Last Name:MARCUS
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 1:11695 ROUTE 56 HWY E
Mailing Address - Street 2:P.O. BOX 166
Mailing Address - City:ARMAGH
Mailing Address - State:PA
Mailing Address - Zip Code:15920-9025
Mailing Address - Country:US
Mailing Address - Phone:814-446-5555
Mailing Address - Fax:814-446-4147
Practice Address - Street 1:11695 ROUTE 56 HWY E
Practice Address - Street 2:
Practice Address - City:ARMAGH
Practice Address - State:PA
Practice Address - Zip Code:15920-9025
Practice Address - Country:US
Practice Address - Phone:814-446-5555
Practice Address - Fax:814-446-4147
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor