Millcreek Chiropractic Associates P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-006458-L Issued in PA

Legal business name

MILLCREEK CHIROPRACTIC ASSOCIATES P.C.

Practice address

4108 Zuck Rd
Erie, PA 16506-4539

Phone

(814) 835-5039

Fax

(814) 835-7723

NPI assigned

Feb 20, 2007

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Wesley Cobert Jr., D.C.

Title

Doctor of Chiropractic

Phone

(814) 835-5039

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• same Former legal business name

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1386789121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-835-5039",
            "fax_number": "814-835-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064539",
            "telephone_number": "814-835-5039",
            "fax_number": "814-835-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK CHIROPRACTIC ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "COBERT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "814-835-5039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-006458-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "446052",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Milan Home Care LLC
• Amy G Miles, D.O.
• Jessica Miles
• Eric J. Milie, DO
• Jason T Milk, DO
• Millcreek Community Hospital
• Millcreek Community Hospital (LECOM Health Millcreek Medical Arts)
• Millcreek Community Hospital
• Millcreek Community Hospital
• Millcreek Community Hospital

• Chiropractor in Erie, PA
• Providers in Erie, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.