Individual
DR. FREDERIC J, MISCOE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
215 BELMONT ST, JOHNSTOWN, PA 15904-1614
(814) 266-3314
(814) 262-0800
Mailing address
215 BELMONT ST, JOHNSTOWN, PA 15904-1614
(814) 266-3314
(814) 262-0800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 2890-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010353320001
—
PA
Enumeration date
08/22/2005
Last updated
08/07/2014
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