Healthcare Provider Details

I. General information

NPI: 1699121376
Provider Name (Legal Business Name): AUKERMAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 05/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 FRYE FARM RD
GREENSBURG PA
15601-6480
US

IV. Provider business mailing address

424 FRYE FARM RD
GREENSBURG PA
15601-6480
US

V. Phone/Fax

Practice location:
  • Phone: 724-537-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011144
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberDC002483
License Number StatePA

VIII. Authorized Official

Name: WILLIAM AUKERMAN
Title or Position: OWNER
Credential: D.C.
Phone: 724-537-2600