Organization Active NPI

Labue Chiropractic

  • Chiropractor
  • Du Bois, PA
National Provider Identifier
1205867397
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005325L Issued in PA
Legal business name
LABUE CHIROPRACTIC
Practice address
200 McCracken Run Rd
Du Bois, PA 15801-3634
Phone
(814) 375-8900
Fax
(814) 375-8901
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brad Alan Labue, D.C.NPI 1578544375
Title
Owner
Phone
(814) 375-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC005325L PA Primary

Addresses

Primary practice location

200 McCracken Run Rd
Du Bois, PA 15801-3634

Mailing address

200 McCracken Run Rd
Du Bois, PA 15801-3634
Phone (814) 375-8900

Other identifiers 1

IdentifierTypeStateIssuer
001376811OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

200 McCracken Run Rd
Dubois, PA 15801
Phone (814) 375-8900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1205867397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MCCRACKEN RUN RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013634",
            "telephone_number": "814-375-8900",
            "fax_number": "814-375-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCCRACKEN RUN RD",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013634",
            "telephone_number": "814-375-8900",
            "fax_number": "814-375-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABUE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "LABUE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-375-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005325L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001376811",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.