Individual
DR. BRENT MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
177 MAIN ST, GREENVILLE, PA 16125-2145
(724) 588-8880
(724) 588-1515
Mailing address
177 MAIN STREET, PO BOX 638, GREENVILLE, PA 16125-0638
(724) 588-8880
(724) 588-1515
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-007677
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000786524
HIGHMARK ID
PA
01
—
251869764
TAX ID
PA
Enumeration date
07/24/2006
Last updated
06/28/2017
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