Provider Demographics
NPI:1316764665
Name:POLLACK, AUSTIN (DC)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:
Last Name:POLLACK
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 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:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011976111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1275349557OtherPRIMARY DOCTOR NPI