Organization
HEALTHWAYS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC SETH MIZUBA DC (OWNER/ DOCTOR)
(814) 833-9355
Entity
Organization
Contact information
Practice address
4125 W RIDGE RD, ERIE, PA 16506-1763
(814) 833-9355
(814) 833-9355
Mailing address
4125 W RIDGE RD, ERIE, PA 16506-1763
(814) 833-9355
(814) 833-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007380L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017864920003
—
PA
Enumeration date
03/14/2013
Last updated
03/14/2013
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