Organization
LAND - WEST CLINIC OF CHIROPRACTIC, PC
Active
Other names
West - Land Clinic of Chiropractic, West-Land Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L RHOADES (MEDICAL BILLING MANAGER)
(724) 532-3077
Entity
Organization
Contact information
Practice address
1828 LIGONIER ST, LATROBE, PA 15650-2954
(724) 532-3077
(724) 532-3155
Mailing address
1929 DAILEY AVENUE, LATROBE, PA 15650
(724) 532-3077
(724) 532-3155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC005037L
PA
111N00000X
Chiropractor
Primary
DC005833L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1613441
BLUE CROSS BLUE SHIELD
PA
Enumeration date
08/02/2006
Last updated
11/12/2019
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