Provider Demographics
NPI:1124012034
Name:SIMARI-PAPOTTO, DEBRA J (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:J
Last Name:SIMARI-PAPOTTO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:HALDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:214 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3223
Mailing Address - Country:US
Mailing Address - Phone:724-498-4401
Mailing Address - Fax:724-498-4770
Practice Address - Street 1:214 ENCLAVE DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3223
Practice Address - Country:US
Practice Address - Phone:724-498-4401
Practice Address - Fax:724-498-4770
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005647-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA084467Medicare ID - Type Unspecified
PAU82621Medicare UPIN