Organization
WANO CHIROPRACTIC WEIGHT LOSS & NUTRITION CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY E WANO DC (PRESIDENT)
(724) 222-8322
Entity
Organization
Contact information
Practice address
193 W BEAU ST, JEFFERSON COURT PLAZA, WASHINGTON, PA 15301-4401
(724) 222-8322
Mailing address
193 W BEAU ST, JEFFERSON COURT PLAZA, WASHINGTON, PA 15301-4401
(724) 222-8322
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC005027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16115200004
—
PA
Enumeration date
05/16/2006
Last updated
08/22/2020
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