Organization
ATLAS CHIROPRACTIC OF LIGONIER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER PACIENZA D. C. (CHIROPRACTOR)
(724) 238-6920
Entity
Organization
Contact information
Practice address
621 W MAIN ST, SUITE 2, LIGONIER, PA 15658-1017
(724) 238-6920
(724) 238-6940
Mailing address
621 W MAIN ST, SUITE 2, LIGONIER, PA 15658-1017
(724) 238-6920
(724) 238-6940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009648
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016667820001
—
PA
01
—
1561741
GATEWAY HEALTH PLAN
PA
01
—
1881737
AMERIHEALTH
PA
01
—
2749594000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
10/03/2007
Last updated
02/17/2009
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