Active NPI
Andre Michael Wetzel, D.C.
- Chiropractor
- Morgantown, PA
National Provider Identifier
1548464142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009358
- Practice address
- 150 Moreview Blvd
Morgantown, PA 19543-9100 - Phone
- (610) 286-6626
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC009358 | PA | Primary |
Addresses
Primary practice location
150 Moreview Blvd
Morgantown, PA 19543-9100
Mailing address
908 Sutters Mill LN
Temple, PA 19560-1146
Phone (484) 794-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009358 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548464142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 SUTTERS MILL LN",
"city": "TEMPLE",
"state": "PA",
"postal_code": "195601146",
"telephone_number": "484-794-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MOREVIEW BLVD",
"city": "MORGANTOWN",
"state": "PA",
"postal_code": "195439100",
"telephone_number": "610-286-6626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZEL",
"first_name": "ANDRE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.