Organization
OLIVETTI CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OLIVETTI D.C. (OWNER)
(717) 697-7058
Entity
Organization
Contact information
Practice address
5521 CARLISLE PIKE, MECHANICSBURG, PA 17050-2419
(717) 697-7058
Mailing address
201 W ELMWOOD AVE, MECHANICSBURG, PA 17055-6431
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009342
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085417
MEDICARE PTAN
PA
Enumeration date
10/10/2012
Last updated
10/10/2012
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