Provider Demographics
NPI:1609020965
Name:BEDNER, EUGENE R (DC)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:R
Last Name:BEDNER
Suffix:
Gender:M
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:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-0188
Mailing Address - Country:US
Mailing Address - Phone:412-913-1998
Mailing Address - Fax:
Practice Address - Street 1:121 HAMTOM RD
Practice Address - Street 2:
Practice Address - City:EIGHTY FOUR
Practice Address - State:PA
Practice Address - Zip Code:15330-2609
Practice Address - Country:US
Practice Address - Phone:412-913-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002781L111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation