Individual
MICHAEL CHARLES PANGONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 FOUNTAIN AVE, ELLWOOD CITY, PA 16117-2183
(724) 758-5733
(724) 758-7617
Mailing address
300 FOUNTAIN AVE, ELLWOOD CITY, PA 16117-2183
(724) 758-5733
(724) 758-7617
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
AJ007733L
PA
111N00000X
Chiropractor
Primary
DC007733L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114030
MEDICARE
PA
01
—
PA826363
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
09/28/2006
Last updated
03/17/2008
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