MEDICARE: DR. FRANK LEDONNE 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	DC007957L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1469560	OTHER	PA	HIGHMARK INDIVIDUAL

General Provider Information

NPI Number	:	1639205677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK LEDONNE D.C.

Provider Business Mailing Address
First Line	:	3390 SAXONBURG BLVD
Second Line	:	BLD. A. SUITE.150
City	:	GLENSHAW
State	:	PA
Zip	:	15116-3160
Country	:	US
Telephone Number	:	412-767-0200
Fax Number	:	412-767-0500

Provider Business Practice Location Address
First Line	:	3390 SAXONBURG BLVD
Second Line	:	BLD. A. SUITE.150
City	:	GLENSHAW
State	:	PA
Zip	:	15116-3160
Country	:	US
Telephone Number	:	412-767-0200
Fax Number	:	412-767-0500

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	07/08/2007

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