Healthcare Provider Details

I. General information

NPI: 1669415436
Provider Name (Legal Business Name): COMPLETE CHIROPRACTIC HEALTH,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 ROCHESTER RD STE 200
CRANBERRY TWP PA
16066-6546
US

IV. Provider business mailing address

2710 ROCHESTER RD STE 200
CRANBERRY TWP PA
16066-6546
US

V. Phone/Fax

Practice location:
  • Phone: 724-779-0001
  • Fax: 724-779-0003
Mailing address:
  • Phone: 724-779-0001
  • Fax: 724-779-0003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY MICHAEL MANES
Title or Position: PRESIDENT
Credential:
Phone: 724-799-0001