Provider Demographics
NPI:1073983508
Name:ROBERT J GATTO JR CHIROPRACTOR PC
Entity Type:Organization
Organization Name:ROBERT J GATTO JR CHIROPRACTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GATTO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:814-723-7725
Mailing Address - Street 1:100 CRESCENT PARK
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-2258
Mailing Address - Country:US
Mailing Address - Phone:814-723-7725
Mailing Address - Fax:814-723-7729
Practice Address - Street 1:100 CRESCENT PARK
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2258
Practice Address - Country:US
Practice Address - Phone:814-723-7725
Practice Address - Fax:814-723-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-27
Last Update Date:2015-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC9803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty