Provider Demographics
NPI:1558421990
Name:MONIT CHIROPRACTIC
Entity Type:Organization
Organization Name:MONIT CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:MONIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-775-1322
Mailing Address - Street 1:373 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:15074-1766
Mailing Address - Country:US
Mailing Address - Phone:724-775-1322
Mailing Address - Fax:724-775-2527
Practice Address - Street 1:373 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:PA
Practice Address - Zip Code:15074-1766
Practice Address - Country:US
Practice Address - Phone:724-775-1322
Practice Address - Fax:724-775-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001411-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2134946OtherUHC
PA221427OtherHEALTH AMERICAASSURANCE
PA317600OtherUPMC
PA11025789OtherCAQH
PA2795032OtherCIGNA
PA7138334OtherAETNA PPO
PA2681891OtherAETNA HMO
PA2134946OtherUHC
PA2681891OtherAETNA HMO