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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.

physician-icon Basic Information

Practice Location 7686 W Ridge Rd, Fairview, PA 16415-1074, US
Practice Location Phone814-474-5588
Practice Location Fax814-474-5589
Legal Business NamePROGRESSIVE CHIROPRACTIC & INJURY CTR, PC
NPI ?1225068976
Entity TypeOrganization
Enumeration Date ? Jul 5, 2006
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Progressive Chiropractic & Injury Ctr, Pc

SpecialtySpecializationLicenseLicense State
Chiropractor DC004658LPennsylvania

legacy-id-icon Legacy Provider IDs of Progressive Chiropractic & Injury Ctr, Pc

Provider IdIssuer StateIssuer TypeIssuer
U13673PennsylvaniaMedicare Upin
656151PennsylvaniaMedicare Id-type Unspecified

official-icon 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/PositionOWNER
Authorized Official Phone Number814-474-5588