MEDICARE: THAD NATHAN DIEHL D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC009168	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	DI1608783	OTHER	PA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1235139015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAD NATHAN DIEHL D.C.

Provider Business Mailing Address
First Line	:	717 E MILL ST
Second Line	:
City	:	PORT ALLEGANY
State	:	PA
Zip	:	16743-9743
Country	:	US
Telephone Number	:	814-642-7236
Fax Number	:	814-313-7535

Provider Business Practice Location Address
First Line	:	717 E MILL ST
Second Line	:
City	:	PORT ALLEGANY
State	:	PA
Zip	:	16743-9743
Country	:	US
Telephone Number	:	814-642-7236
Fax Number	:	814-313-7535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	01/26/2021

Similar Medicare Providers

1972195832 — PORT ALLEGANY CHIROPRACTIC LLC
Practice Location Address:

717 E MILL ST
PORT ALLEGANY, PA
16743-9743

Practice Phone: 814-642-7236
Practice Fax: 814-313-7535

1366442535 — EDWIN M SCHOTT OD
Practice Location Address:

21 WILLOW ST
PORT ALLEGANY, PA
16743-1334

Practice Phone: 814-642-9408
Practice Fax:

1336106954 — MARK H SHELLEY M.D.
Practice Location Address:

1 WILLOW ST
PORT ALLEGANY, PA
16743-1332

Practice Phone: 814-642-9531
Practice Fax: 814-642-2020

1962469486 — PORT ALLEGANY AREA FAMILY PRACTICE PC
Practice Location Address:

1 WILLOW ST
PORT ALLEGANY, PA
16743-1332

Practice Phone: 814-642-9531
Practice Fax: 814-642-2020

1801848700 — DANIEL E SCHOTT OD
Practice Location Address:

21 WILLOW ST
PORT ALLEGANY, PA
16743-1334

Practice Phone: 814-642-9408
Practice Fax: 814-642-9484

1962455352 — EDWIN M SCHOTT OD PC
Practice Location Address:

21 WILLOW ST
PORT ALLEGANY, PA
16743-1334

Practice Phone: 814-642-9408
Practice Fax: 814-642-9484

Directions to “ THAD NATHAN DIEHL D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.