| Smooke Chiropractic Clinic Inc | |
|
828 Hazelwood Avenue, Pittsburgh, PA 15217 | |
| (412) 422-4321 | |
| (412) 422-2896 |
| Full Name | Smooke Chiropractic Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 828 Hazelwood Avenue, Pittsburgh, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295766004 | NPI | - | NPPES |
| 8460650 | Other | PA | CIGNA |
| 1209146 | Medicaid | PA | |
| 1042090 | Medicaid | PA | |
| 4353872 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC004209L (Pennsylvania) | Primary |
| Provider Name | Joel E Smooke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952426751 PECOS PAC ID: 1052607801 Enrollment ID: I20160906000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Smooke Chiropractic Clinic Inc 828 Hazelwood Avenue, Pittsburgh, PA 15217 Ph: (412) 422-4321 | Smooke Chiropractic Clinic Inc 828 Hazelwood Avenue, Pittsburgh, PA 15217 Ph: (412) 422-4321 |
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