Provider Demographics
NPI:1366440398
Name:SANTORO, JEANNIE ALLSHOUSE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANNIE
Middle Name:ALLSHOUSE
Last Name:SANTORO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JEANNIE
Other - Middle Name:LYNN
Other - Last Name:ALLSHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1177 S 6TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3759
Mailing Address - Country:US
Mailing Address - Phone:724-349-0200
Mailing Address - Fax:724-349-0202
Practice Address - Street 1:1177 SOUTH 6TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-349-0200
Practice Address - Fax:724-349-0202
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA5838L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017708400001Medicaid
PA00017708400001Medicaid
PA00017708400001Medicaid
PA0017708400001Medicaid