Provider Demographics
NPI:1427046556
Name:STRIKOWSKY, JEFFREY PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PAUL
Last Name:STRIKOWSKY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5338
Mailing Address - Country:US
Mailing Address - Phone:215-361-5090
Mailing Address - Fax:215-412-4296
Practice Address - Street 1:1019 S BROAD ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5338
Practice Address - Country:US
Practice Address - Phone:215-361-5090
Practice Address - Fax:215-412-4296
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004914-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01620889Medicaid
PA0540233000OtherIBC PERSONAL CHOICE
PA01620889-01OtherAMERICHOICE
PA232675376OtherCIGNA
PW0540233000OtherKEYSTONE EAST
PA1030166OtherKEYSTONE MERCY
PA466476OtherAETNA
PAU27494Medicare UPIN
PA01620889Medicaid