MEDICARE: DR. MICHAEL A PISZEL DC

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	111NR0400X	Rehabilitation Chiropractor	DC007235L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1676244	OTHER	PA	HIGHMARK ID#

General Provider Information

NPI Number	:	1386792141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A PISZEL DC

Provider Business Mailing Address
First Line	:	44 2ND STREET PIKE
Second Line	:	SUITE 202
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3830
Country	:	US
Telephone Number	:	215-942-9429
Fax Number	:	215-942-9432

Provider Business Practice Location Address
First Line	:	44 2ND STREET PIKE
Second Line	:	SUITE 202
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3830
Country	:	US
Telephone Number	:	215-942-9429
Fax Number	:	215-942-9432

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	02/25/2008

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Directions to “ DR. MICHAEL A PISZEL DC” Practice Location

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