Provider Demographics
NPI:1639198047
Name:BILOTT, JAMES R (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:BILOTT
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 1:593 RUGH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5637
Mailing Address - Country:US
Mailing Address - Phone:724-838-8133
Mailing Address - Fax:724-838-8119
Practice Address - Street 1:593 RUGH ST STE 3
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5637
Practice Address - Country:US
Practice Address - Phone:724-838-8133
Practice Address - Fax:724-838-8119
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006647-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1500181OtherGATEWAY HEALTHPLAN
PA7198176OtherUS HEALTHCARE
PA836321OtherHIGHMARK BLUE CROSS
PAU63732Medicare UPIN
PA7198176OtherUS HEALTHCARE
PA836321Medicare ID - Type Unspecified