Provider Demographics
NPI:1417903782
Name:NICHOLAS J SENUTA
Entity Type:Organization
Organization Name:NICHOLAS J SENUTA
Other - Org Name:CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SENUTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-537-5200
Mailing Address - Street 1:2300 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650
Mailing Address - Country:US
Mailing Address - Phone:724-537-5200
Mailing Address - Fax:724-537-2126
Practice Address - Street 1:2300 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-537-5200
Practice Address - Fax:724-537-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001472450OtherKEYSTONE
SE1472450OtherHIGHMARK BLUE SHIELD
PA001472450OtherKEYSTONE