MEDICARE: HORVATINCIC CHIROPRACTIC LLC

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	DC001636L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	339841	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679854921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORVATINCIC CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	1200 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1644
Country	:	US
Telephone Number	:	412-672-8101
Fax Number	:	412-675-0358

Provider Business Practice Location Address
First Line	:	1200 LINCOLN WAY
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1644
Country	:	US
Telephone Number	:	412-672-8101
Fax Number	:	412-675-0358

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES V HORVATINCIC
Credential	:	DC
Telephone Number	:	412-672-8101

Provider Enumeration Date	:	08/31/2011
Last Update Date	:	08/31/2011

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