Individual
DR. JOHN CARL BERETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3506 RTE 130, IRWIN, PA 15642
(724) 744-0300
(724) 744-0303
Mailing address
3506 ROUTE 130, IRWIN, PA 15642-1699
(724) 744-0300
(724) 744-0303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005970L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01483430
—
PA
Enumeration date
02/13/2006
Last updated
05/11/2011
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