Provider Demographics
NPI:1174629901
Name:MON CITY CHIROPRACTIC CLINIC, PC
Entity Type:Organization
Organization Name:MON CITY CHIROPRACTIC CLINIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BISCEGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-258-3555
Mailing Address - Street 1:1230 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063
Mailing Address - Country:US
Mailing Address - Phone:724-258-3555
Mailing Address - Fax:724-258-4709
Practice Address - Street 1:1230 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063
Practice Address - Country:US
Practice Address - Phone:724-258-3555
Practice Address - Fax:724-258-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA201976OtherUPMC
PA893870OtherBCBS
PA893870Medicare ID - Type Unspecified