| Port Allegany Chiropractic Llc | |
|
717 E Mill St, Port Allegany, PA 16743-9743 | |
| (814) 642-7236 | |
| (814) 313-7535 |
| Full Name | Port Allegany Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 717 E Mill St, Port Allegany, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972195832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Thad Nathan Diehl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235139015 PECOS PAC ID: 2163401928 Enrollment ID: I20040715000582 |
| Provider Name | Andrew Mitchell Young |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194809137 PECOS PAC ID: 0446425896 Enrollment ID: I20120103000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Port Allegany Chiropractic Llc 717 E Mill St, Port Allegany, PA 16743-9743 Ph: (814) 642-7236 | Port Allegany Chiropractic Llc 717 E Mill St, Port Allegany, PA 16743-9743 Ph: (814) 642-7236 |
Thad Nathan Diehl, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 717 E Mill St, Port Allegany, PA 16743 Phone: 814-642-7236 Fax: 814-313-7535 | |
Charles Cole Memorial Hospital Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 45 N Pine St, Port Allegany, PA 16743 Phone: 814-642-5076 Fax: 814-642-5942 |