Individual
DR. RICHARD FABIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
211 GILMORE AVE, GROVE CITY, PA 16127-1614
(724) 458-5186
Mailing address
211 GILMORE AVE, GROVE CITY, PA 16127-1614
(724) 458-5186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 004010-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA610352
BLUE SHIELD
PA
Enumeration date
03/15/2007
Last updated
07/08/2007
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