Individual
DR. BRETT ALLEN FYE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1405 E WALTON AVE, ALTOONA, PA 16602-7111
(814) 946-0279
(814) 946-9039
Mailing address
1405 E WALTON AVE, ALTOONA, PA 16602-7111
(814) 946-0279
(814) 946-9039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009194
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009207200001
—
PA
01
—
400544
UPMC
PA
01
—
FY1592850
BLUE SHIELD
PA
Enumeration date
11/10/2005
Last updated
07/08/2007
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