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NPI Code Detail

MEDICARE: BERGER CHIROPRACTIC WELLNESS CLINIC INC

MEDICARE: BERGER CHIROPRACTIC WELLNESS CLINIC INC
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
1111N00000XChiropractorDC8601LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11367834OTHERPABLUES

General Provider Information

NPI Number : 1164441358
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERGER CHIROPRACTIC WELLNESS CLINIC INC
Provider Business Mailing Address
First Line : 107 E MCMURRAY RD
Second Line :
City : MCMURRAY
State : PA
Zip : 15317-2961
Country : US
Telephone Number : 724-969-1051
Fax Number :
Provider Business Practice Location Address
First Line : 107 E MCMURRAY RD
Second Line :
City : MCMURRAY
State : PA
Zip : 15317-2961
Country : US
Telephone Number : 724-969-1051
Fax Number :
Authorized Official
Title or Position : BILLING
Name : MELISSA ROMANELLI
Credential :
Telephone Number : 724-387-2455
Provider Enumeration Date : 07/19/2006
Last Update Date : 05/11/2011

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Directions to “BERGER CHIROPRACTIC WELLNESS CLINIC INC ” Practice Location

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