Organization
MANUCCI CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J MANUCCI D.C. (OWNER)
(814) 868-2663
Entity
Organization
Contact information
Practice address
2028 W 38TH ST, ERIE, PA 16508-2020
(814) 868-2663
(814) 868-0044
Mailing address
2028 W 38TH ST, ERIE, PA 16508-2020
(814) 868-2663
(814) 868-0044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005117L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001432216000
—
PA
01
—
182925
BLUE SHIELD
PA
01
—
335-715
BLUE SHIELD GROUP NUMBER
PA
01
—
JM1033899
ASHN
PA
Enumeration date
04/30/2008
Last updated
06/21/2018
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