MEDICARE: SANTORO CHIROPRACTIC P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC005838L	PA

General Provider Information

NPI Number	:	1003242918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANTORO CHIROPRACTIC P.C.

Provider Business Mailing Address
First Line	:	1177 S 6TH ST
Second Line	:	SUITE D
City	:	INDIANA
State	:	PA
Zip	:	15701-3759
Country	:	US
Telephone Number	:	724-349-0200
Fax Number	:	724-349-0202

Provider Business Practice Location Address
First Line	:	795 PHILADELPHIA ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3905
Country	:	US
Telephone Number	:	412-496-9403
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JEANNIE ALLSHOUSE SANTORO
Credential	:	D.C.
Telephone Number	:	412-496-9403

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	04/08/2014

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