MEDICARE: SIGSBEE REHABILITATION CORPORATION

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	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710949193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGSBEE REHABILITATION CORPORATION

Provider Business Mailing Address
First Line	:	3580 PEACH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16508-2776
Country	:	US
Telephone Number	:	814-868-7581
Fax Number	:	814-866-3580

Provider Business Practice Location Address
First Line	:	3580 PEACH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16508-2776
Country	:	US
Telephone Number	:	814-868-7581
Fax Number	:	814-866-3580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENNETH D CHINSKY
Credential	:	MD
Telephone Number	:	814-868-7584

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	12/22/2009

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