Provider Demographics
NPI:1689788788
Name:JEFF A. BIDDLE DC
Entity Type:Organization
Organization Name:JEFF A. BIDDLE DC
Other - Org Name:BIDDLE CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-384-7068
Mailing Address - Street 1:211 PLUM ST
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-1517
Mailing Address - Country:US
Mailing Address - Phone:412-384-7068
Mailing Address - Fax:412-384-2805
Practice Address - Street 1:211 PLUM ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-1517
Practice Address - Country:US
Practice Address - Phone:412-384-7068
Practice Address - Fax:412-384-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002817L111N00000X
PADC001069L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1432377OtherBCBS
PADB1349OtherRAILROAD MEDICARE
PA1432377OtherBCBS