Healthcare Provider Details

I. General information

NPI: 1366883118
Provider Name (Legal Business Name): ALISHIA ANN HEPAK D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 12/15/2023
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N HERMITAGE RD
HERMITAGE PA
16148-3345
US

IV. Provider business mailing address

155 N HERMITAGE RD
HERMITAGE PA
16148-3345
US

V. Phone/Fax

Practice location:
  • Phone: 724-983-0442
  • Fax: 724-979-6303
Mailing address:
  • Phone: 724-983-0442
  • Fax: 724-979-6303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC010755
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number010755
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: