Provider Demographics
NPI:1003242918
Name:SANTORO CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:SANTORO CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:ALLSHOUSE
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-496-9403
Mailing Address - Street 1:1177 S 6TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3759
Mailing Address - Country:US
Mailing Address - Phone:724-349-0200
Mailing Address - Fax:724-349-0202
Practice Address - Street 1:795 PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3905
Practice Address - Country:US
Practice Address - Phone:412-496-9403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-24
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005838L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty