Provider Demographics
NPI:1659379071
Name:SINNOTT, PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:SINNOTT
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 1:402 W WAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3832
Mailing Address - Country:US
Mailing Address - Phone:610-688-3903
Mailing Address - Fax:610-688-3918
Practice Address - Street 1:402 W WAYNE AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3832
Practice Address - Country:US
Practice Address - Phone:610-688-3903
Practice Address - Fax:610-688-3918
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005066L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0660116000OtherKEYSTONE HEA. PLAN EAST
PA036674OtherBCBS PERSONAL CHOICE NUM
PA0660116000OtherKEYSTONE HEA. PLAN EAST