Provider Demographics
NPI:1316046204
Name:TALORICO, ANTHONY JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:TALORICO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5499 WILLIAM FLYNN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044
Mailing Address - Country:US
Mailing Address - Phone:724-443-8444
Mailing Address - Fax:724-443-6963
Practice Address - Street 1:5499 WILLIAM FLYNN HIGHWAY
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044
Practice Address - Country:US
Practice Address - Phone:724-443-8444
Practice Address - Fax:724-443-6963
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC06345L111N00000X
PAAJ008626208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1829811Medicaid
PA214910OtherUPMC
PA809656OtherBLUE SHIELD
PA214910OtherUPMC
U59858Medicare UPIN