Organization
MCCONNELL SPECIFIC CHIROPRACTIC
Active
Other names
BRENT MCCONNELL DC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MCCONNELL DC (OWNER)
(724) 588-8880
Entity
Organization
Contact information
Practice address
177 MAIN ST, GREENVILLE, PA 16125-2145
(724) 588-8880
Mailing address
177 MAIN ST, GREENVILLE, PA 16125-2145
(724) 588-8880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007677L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
786524
BLUES
PA
Enumeration date
05/15/2007
Last updated
08/22/2020
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