Healthcare Provider Details

I. General information

NPI: 1619909215
Provider Name (Legal Business Name): BVCC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 05/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 WASHINGTON ST
BELLE VERNON PA
15012-2808
US

IV. Provider business mailing address

830 WASHINGTON ST
BELLE VERNON PA
15012-2808
US

V. Phone/Fax

Practice location:
  • Phone: 724-929-6100
  • Fax: 724-929-7489
Mailing address:
  • Phone: 724-929-6100
  • Fax: 724-929-7489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-002142-L
License Number StatePA

VIII. Authorized Official

Name: DR. ROBERT EUGENE BIDDLE JR.
Title or Position: PRESIDENT
Credential: D.C.
Phone: 724-929-6100