MEDICARE: DR. LEAH M CHARNEY 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	DC009328	PA
2	111N00000X	Chiropractor	AJ009137	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1657365	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942264874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH M CHARNEY D.C.

Provider Business Mailing Address
First Line	:	3076 EAGLE VALLEY RD.
Second Line	:
City	:	MILL HALL
State	:	PA
Zip	:	17751-1626
Country	:	US
Telephone Number	:	570-726-2000
Fax Number	:	570-726-8012

Provider Business Practice Location Address
First Line	:	3076 EAGLE VALLEY RD.
Second Line	:
City	:	MILL HALL
State	:	PA
Zip	:	17751-1626
Country	:	US
Telephone Number	:	570-726-2000
Fax Number	:	570-726-8012

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/02/2016

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