Cecil Chiropractic & Rehabilitation, PC
Organization Active NPI Chiropractor · Cecil, PA
NPI 1043473630 · NPPES record last updated Nov 5, 2008
Key facts
- NPI
- 1043473630
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC006033L (PA)
- Legal business name
- CECIL CHIROPRACTIC & REHABILITATION, PC
- Practice address
- 3131 Millers Run Rd
Cecil, PA 15321-1264 - Phone
- (412) 220-1800
- Fax
- (412) 220-2400
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. George Edmund Khoury, DC DACRB
- Title
- Chiropractor/Owner
- Phone
- (412) 220-1800
Practitioners 1
-
George E Khoury, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081022000360 | PA | Part B Supplier - Clinic/Group Practice | 3072671916 |
Receives reassigned benefits from 1 practitioner Practice locations: Cecil, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC006033L | PA | Yes |
Addresses
Primary practice location
3131 Millers Run Rd
Cecil, PA 15321-1264
Mailing address
3131 Millers Run Rd
Cecil, PA 15321-1264
Phone (412) 220-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593331 | Other | PA | HEALTH ASSURANCE |
| 5641675 | Other | PA | AETNA |
| 664743 | Other | PA | UNITED |
| 715018 | Other | PA | BLUE CROSS BLUE SHIELD |
| 16698990002 | Medicaid | PA | |
| 201941 | Other | PA | UPMC |
| 7518611 | Other | PA | CIGNA |
Other providers in Cecil, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.