Healthcare Provider Details
I. General information
NPI: 1568584282
Provider Name (Legal Business Name): DR. WEBB AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2007
Last Update Date: 05/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
42 E MAIDEN ST
WASHINGTON PA
15301-4912
US
IV. Provider business mailing address
42 E MAIDEN ST
WASHINGTON PA
15301-4912
US
V. Phone/Fax
- Phone: 724-225-2225
- Fax: 724-225-5746
- Phone: 724-225-2225
- Fax: 724-225-5746
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC006927L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | DC006927L |
| License Number State | PA |
VIII. Authorized Official
Name: MRS.
MELISSA
SUSAN
HATFIELD
Title or Position: INSURANCE MANAGER
Credential:
Phone: 724-225-2225