Organization
ALLEGHENY VALLEY CHIROPRACTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W DISANTI JR. D.C. (DOCTOR OF CHIROPRACTIC)
(724) 265-2100
Entity
Organization
Contact information
Practice address
715 LITTLE DEER CREEK VALLEY RD # 64, RUSSELLTON, PA 15076-1312
(724) 265-2100
Mailing address
715 LITTLE DEER CREEK VALLEY RD, PO BOX 64, RUSSELLTON, PA 15076-1312
(724) 265-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC019761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063487205
RICHARD W DISANTI JR DC NPI
PA
01
—
1501577
GATEWAY MEDICAID
PA
01
—
189667
MEDICARE PTAN
PA
01
—
616977100
DEPT. OF LABOR
PA
Enumeration date
09/06/2013
Last updated
09/06/2013
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