Provider Demographics
NPI:1942607684
Name:G & J MERCIER, INC
Entity type:Organization
Organization Name:G & J MERCIER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:HOMZA
Authorized Official - Last Name:MERCIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, BS
Authorized Official - Phone:717-991-5417
Mailing Address - Street 1:184 MAIN ST REAR
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4015
Mailing Address - Country:US
Mailing Address - Phone:610-628-2502
Mailing Address - Fax:
Practice Address - Street 1:184 MAIN ST REAR
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-4015
Practice Address - Country:US
Practice Address - Phone:610-628-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty