| Blackledge Family Chiropractic, Pc | |
|
200 Main St, 2nd Floor, Blakely, PA 18447-1241 | |
| (570) 383-4963 | |
| (570) 383-4964 |
| Full Name | Blackledge Family Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 200 Main St, Blakely, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013162692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC009663 (Pennsylvania) | Primary |
| Provider Name | Paul D Blackledge |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790968956 PECOS PAC ID: 2365520962 Enrollment ID: I20080423000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Blackledge Family Chiropractic, Pc Po Box 271, Peckville, PA 18452-0271 Ph: (570) 383-4963 | Blackledge Family Chiropractic, Pc 200 Main St, 2nd Floor, Blakely, PA 18447-1241 Ph: (570) 383-4963 |
Mr. Michael A. Stachacz, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 135 Main St, Blakely, PA 18447 Phone: 570-383-5446 Fax: 570-383-5446 | |
Dr. Paul M Smola, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 241 Main St, Blakely, PA 18447 Phone: 570-489-4444 Fax: 570-489-3333 | |
Smola Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 241 Main St, Blakely, PA 18447 Phone: 570-489-4444 | |
Stephen Straka, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Main St, Blakely, PA 18447 Phone: 570-383-4900 Fax: 570-383-4901 | |
Dr. Michael Senyk, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 246 Main St, Blakely, PA 18447 Phone: 570-489-9906 | |
Complete Chiropractic And Rehabilitation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 Main St, Blakely, PA 18447 Phone: 570-383-4900 Fax: 570-383-4901 |