Provider Demographics
NPI:1023008620
Name:GALATIC, MADELYNNE KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:MADELYNNE
Middle Name:KAY
Last Name:GALATIC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-2056
Mailing Address - Country:US
Mailing Address - Phone:412-741-3377
Mailing Address - Fax:412-741-3273
Practice Address - Street 1:1099 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-2056
Practice Address - Country:US
Practice Address - Phone:412-741-3377
Practice Address - Fax:412-741-3273
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005354-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA081917OtherMEDICARE
PA705447OtherBC/BS PROVIDER #
PA0006241440002Medicaid
PA11024747OtherCAQH
PA2810788-001OtherCIGNA PROVIDER #
PA1021712OtherASH NETWORK, INC. ID #
PA206944OtherUPMC PROVIDER #
PA0006241440002Medicaid
PA206944OtherUPMC PROVIDER #
PA350053355Medicare ID - Type UnspecifiedRAILROAD MEDICARE