MEDICARE: DR. CHAD EDWIN ROSBOROUGH D.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	DC008778	PA

General Provider Information

NPI Number	:	1093808073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD EDWIN ROSBOROUGH D.C.

Provider Business Mailing Address
First Line	:	9013 MARSHALL RD
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-3605
Country	:	US
Telephone Number	:	724-776-0001
Fax Number	:	724-776-9355

Provider Business Practice Location Address
First Line	:	9013 MARSHALL RD
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-3605
Country	:	US
Telephone Number	:	724-776-0001
Fax Number	:	724-779-9355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	11/01/2024

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