Provider Demographics
NPI:1689827123
Name:ANTHONY C. BILOTT P.C
Entity Type:Organization
Organization Name:ANTHONY C. BILOTT P.C
Other - Org Name:BUTLER CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BILOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-285-4211
Mailing Address - Street 1:492 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1363
Mailing Address - Country:US
Mailing Address - Phone:724-285-4211
Mailing Address - Fax:724-285-6466
Practice Address - Street 1:492 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1363
Practice Address - Country:US
Practice Address - Phone:724-285-4211
Practice Address - Fax:724-285-6466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002310L111N00000X
PADC002321L111N00000X
PADC009952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAVE2035124OtherBC/BS
PAT30010Medicare UPIN
PAT30011Medicare PIN