Provider Demographics
NPI:1639277981
Name:SPEICHER, ANGIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGIE
Middle Name:
Last Name:SPEICHER
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 1:212 E PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3328
Mailing Address - Country:US
Mailing Address - Phone:724-834-1300
Mailing Address - Fax:724-838-7200
Practice Address - Street 1:212 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3328
Practice Address - Country:US
Practice Address - Phone:724-834-1300
Practice Address - Fax:724-838-7200
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1505406OtherBLUE CROSS BLUE SHIELD
PA0019744000002Medicaid
1505406OtherHIGHMARK
PA163537OtherUNISON
PA661760OtherACN GROUP
PA7662529OtherAETNA
PA1974400Medicaid
PA1048400OtherASHN
PA1536149OtherGATEWAY