Organization
PENN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY L PUCKETT D.C. (SOLE MBR)
(412) 751-4991
Entity
Organization
Contact information
Practice address
2606 LINCOLN WAY # A, MCKEESPORT, PA 15131-2831
(412) 751-4991
(412) 751-1484
Mailing address
2606 LINCOLN WAY # A, MCKEESPORT, PA 15131-2831
(412) 751-4991
(412) 751-1484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370703
HIGHMARK
PA
01
—
P00072377
RAILROAD MEDICARE
PA
Enumeration date
07/17/2007
Last updated
07/17/2007
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