Allegheny Valley Chiropractic Associates
Organization Active NPI Chiropractor · Russellton, PA
NPI 1386079564 · NPPES record last updated Sep 6, 2013
Key facts
- NPI
- 1386079564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC019761 (PA)
- Legal business name
- ALLEGHENY VALLEY CHIROPRACTIC ASSOCIATES
- Practice address
- 715 Little Deer Creek Valley Rd # 64
Russellton, PA 15076-1312 - Phone
- (724) 265-2100
- NPI assigned
- Sep 6, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard W Disanti Jr., D.C.
- Title
- Doctor of Chiropractic
- Phone
- (724) 265-2100
Corporate family (same tax ID) 1
Practitioners 2
-
Matthew Richard Disanti, D.C.
National Provider Directory
- Tax ID family
- Allegheny Valley Chiropractic Assoc
Locations
162 Brickyard Rd
Mars, PA 16046
Phone (724) 544-3350
715 Little Deer Creek Valley Rd
#64
Russellton, PA 15076
Phone (724) 265-2100
715 Little Deer Creek Valley Rd
Russellton, PA 15076
Phone (724) 265-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | DC019761 | PA | Yes |
Addresses
Primary practice location
715 Little Deer Creek Valley Rd # 64
Russellton, PA 15076-1312
Mailing address
715 Little Deer Creek Valley Rd
PO Box 64
Russellton, PA 15076-1312
Phone (724) 265-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063487205 | Other | PA | RICHARD W DISANTI JR DC NPI |
| 189667 | Other | PA | MEDICARE PTAN |
| 616977100 | Other | PA | DEPT. OF LABOR |
| 1501577 | Other | PA | GATEWAY MEDICAID |
Other providers in Russellton, PA
- Deer Lakes School District
- Richard W Disanti
- James J Graham
- Merakey Pennsylvania
- Merakey Pennsylvania
All providers in Russellton, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.