Individual
DR. MOSES MICAH JEVICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C,
Contact information
Practice address
590 INDIAN SPRINGS RD, SUITE 3, INDIANA, PA 15701-3600
(724) 465-2230
(724) 465-2235
Mailing address
590 INDIAN SPRINGS RD, SUITE 3, INDIANA, PA 15701-3600
(724) 465-2230
(724) 465-2235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009879
PA
111NR0400X
Rehabilitation Chiropractor
AJ009695
PA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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