Provider Demographics
NPI:1275349557
Name:FOR HEALTH CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:FOR HEALTH CHIROPRACTIC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLACK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-595-3010
Mailing Address - Street 1:720 JOHNSVILLE BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3538
Mailing Address - Country:US
Mailing Address - Phone:215-595-3010
Mailing Address - Fax:
Practice Address - Street 1:720 JOHNSVILLE BLVD STE 900
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3538
Practice Address - Country:US
Practice Address - Phone:215-595-3010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1316764665OtherPRIMARY DOCTOR NPI