Organization
DOCTOR V CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN VANO D.C. (PRESIDENT)
(412) 787-0101
Entity
Organization
Contact information
Practice address
1111 OAKDALE RD STE 1, OAKDALE, PA 15071-1523
(412) 787-0101
(412) 787-0111
Mailing address
1111 OAKDALE RD STE 1, OAKDALE, PA 15071-1523
(412) 787-0101
(412) 787-0111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-005145-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019197210002
—
PA
01
—
11213773
CAQH PROV NUMBER
PA
01
—
2385976
AETNA PROV. NUMBER
PA
01
—
3529975
AETNA HMO NUMBER
PA
01
—
5680249
AETNA PPO NUMBER
PA
01
—
705298
HIGHMARK BC BS GROUP
PA
Enumeration date
06/04/2007
Last updated
08/15/2016
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