Healthcare Provider Details

I. General information

NPI: 1285839340
Provider Name (Legal Business Name): SLEPPY CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 09/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FORD DRIVE
INDIANA PA
15701
US

IV. Provider business mailing address

100 FORD DRIVE
INDIANA PA
15701
US

V. Phone/Fax

Practice location:
  • Phone: 724-357-9030
  • Fax: 724-357-9031
Mailing address:
  • Phone: 724-357-9030
  • Fax: 724-357-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW H SLEPPY
Title or Position: PRESIDENT/CHIROPRACTOR
Credential: D.C.
Phone: 724-357-9030