Organization
MISCOE CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC J. MISCOE II D.C. (PRES/CEO)
(814) 266-3314
Entity
Organization
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) 266-8821
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
07/08/2006
Last updated
08/07/2014
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