Provider Demographics
NPI:1225127269
Name:FERRANCE, MICHAEL (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:FERRANCE
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 ROSE STREET
Mailing Address - Street 2:
Mailing Address - City:IRVONA
Mailing Address - State:PA
Mailing Address - Zip Code:16656
Mailing Address - Country:US
Mailing Address - Phone:814-672-3333
Mailing Address - Fax:814-672-3119
Practice Address - Street 1:213 ROSE STREET
Practice Address - Street 2:
Practice Address - City:IRVONA
Practice Address - State:PA
Practice Address - Zip Code:16656
Practice Address - Country:US
Practice Address - Phone:814-672-3333
Practice Address - Fax:814-672-3119
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007727L111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA505883OtherBCBS
PA038026Medicare PIN
PAU80362Medicare UPIN