Provider Demographics
NPI:1578773909
Name:DEBICH, CHRISTINA L (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:DEBICH
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 1:139 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1211
Mailing Address - Country:US
Mailing Address - Phone:724-567-1390
Mailing Address - Fax:724-567-0053
Practice Address - Street 1:139 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1211
Practice Address - Country:US
Practice Address - Phone:724-567-1390
Practice Address - Fax:724-567-0053
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006694L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1619994118OtherNPI TYPE 2 NUMBER
PA1619994118OtherNPI TYPE 2 NUMBER