Provider Demographics
NPI:1427031871
Name:NERI, CYNTHIA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:MARIE
Last Name:NERI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9132 SOMERSET PIKE
Mailing Address - Street 2:STE A
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531
Mailing Address - Country:US
Mailing Address - Phone:814-629-6000
Mailing Address - Fax:814-629-6826
Practice Address - Street 1:9132 SOMERSET PIKE
Practice Address - Street 2:STE A
Practice Address - City:BOSWELL
Practice Address - State:PA
Practice Address - Zip Code:15531
Practice Address - Country:US
Practice Address - Phone:814-629-6000
Practice Address - Fax:814-629-6826
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
V06160Medicare UPIN
PA093731Medicare ID - Type Unspecified