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NPI Code Detail

MEDICARE: PLEXUS CHIROPRACTIC AND REHABILITATION LLC

MEDICARE: PLEXUS CHIROPRACTIC AND REHABILITATION LLC
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
1111NR0400XRehabilitation ChiropractorDC011228PA

General Provider Information

NPI Number : 1497282271
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLEXUS CHIROPRACTIC AND REHABILITATION LLC
Provider Business Mailing Address
First Line : 4508 BROADWAY BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-4745
Country : US
Telephone Number : 724-961-0678
Fax Number :
Provider Business Practice Location Address
First Line : 4508 BROADWAY BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-4745
Country : US
Telephone Number : 724-961-0678
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. TED ALLEN MATTHEWS III
Credential : D.C.
Telephone Number : 724-961-0678
Provider Enumeration Date : 05/11/2017
Last Update Date : 05/11/2017

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Directions to “PLEXUS CHIROPRACTIC AND REHABILITATION LLC ” Practice Location

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