MEDICARE: DR. ROBERT J. VANMETTER DC

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	DC 1730 L	SC
2	111N00000X	Chiropractor	DC001730L	PA

General Provider Information

NPI Number	:	1497750483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J. VANMETTER DC

Provider Business Mailing Address
First Line	:	PO BOX 447
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322-0447
Country	:	US
Telephone Number	:	570-992-7626
Fax Number	:	570-992-8759

Provider Business Practice Location Address
First Line	:	134 PILGRIM WAY
Second Line	:
City	:	BRODHEADSVILLE
State	:	PA
Zip	:	18322
Country	:	US
Telephone Number	:	570-992-7626
Fax Number	:	570-992-8759

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/14/2019

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Directions to “ DR. ROBERT J. VANMETTER DC” Practice Location

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