Provider Demographics
NPI:1104830504
Name:BILOTT, ANTHONY C (DOCTOR OF CHIROPRACT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:C
Last Name:BILOTT
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1363
Mailing Address - Country:US
Mailing Address - Phone:724-285-4211
Mailing Address - Fax:724-285-6466
Practice Address - Street 1:492 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1363
Practice Address - Country:US
Practice Address - Phone:724-285-4211
Practice Address - Fax:724-285-6466
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002310L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T30011Medicare UPIN
BI185334Medicare ID - Type Unspecified