Progressive Chiropractic & Injury Ctr, Pc
Progressive Chiropractic & Injury Ctr, Pc is a health care provider in Fairview, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 7686 W Ridge Rd, Fairview, PA 16415-1074, US |
|Practice Location Phone||814-474-5588|
|Practice Location Fax||814-474-5589|
|Legal Business Name||PROGRESSIVE CHIROPRACTIC & INJURY CTR, PC|
|Enumeration Date ? ||Jul 5, 2006|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Progressive Chiropractic & Injury Ctr, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Chiropractor||Chiropractic Providers|| ||DC004658L||Pennsylvania|
Legacy Provider IDs of Progressive Chiropractic & Injury Ctr, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
|656151||Pennsylvania||Medicare Id-type Unspecified|
Authorized Official of Progressive Chiropractic & Injury Ctr, Pc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Progressive Chiropractic & Injury Ctr, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Timothy Gerard Mannino (D.C.)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||814-474-5588|