Provider Demographics
NPI:1407192412
Name:PENN CROSSING CHIROPRACTIC
Entity Type:Organization
Organization Name:PENN CROSSING CHIROPRACTIC
Other - Org Name:EMMA J. MILLER, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:JANEEN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-744-0320
Mailing Address - Street 1:2030 PENNY LANE
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4304
Mailing Address - Country:US
Mailing Address - Phone:724-744-0320
Mailing Address - Fax:724-744-7782
Practice Address - Street 1:2030 PENNY LANE DR
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4304
Practice Address - Country:US
Practice Address - Phone:724-744-0320
Practice Address - Fax:724-744-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty