Organization
MIDDLETON CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN MIDDLETON (OFFICE MANAGER)
(814) 827-9970
Entity
Organization
Contact information
Practice address
128 W CENTRAL AVE, TITUSVILLE, PA 16354-1726
(814) 827-9970
(814) 827-9971
Mailing address
128 W CENTRAL AVE, TITUSVILLE, PA 16354-1726
(814) 827-9970
(814) 827-9971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007629L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000861662
BC BS MEDICARE
PA
01
—
001346928
BC BS #
PA
05
—
0018122420002
—
PA
05
—
0018122420003
—
PA
01
—
037618Q7V
MEDICARE ORIGINAL GROUP NUMBER BEFORE NPI
PA
01
—
1036231
AMERICAN SPECIALTY HEALTH
PA
01
—
411278
HEALTH ASSURANCE &AMERICA
PA
01
—
P00165689
RAIL ROAD MEDICARE
PA
01
—
V0F118
UPMC
PA
Enumeration date
01/10/2007
Last updated
06/08/2011
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