Provider Demographics
NPI:1710908702
Name:DISCOVER SPECIFIC CHIROPRACTIC, INCORPORATED
Entity Type:Organization
Organization Name:DISCOVER SPECIFIC CHIROPRACTIC, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAM
Authorized Official - Middle Name:NARESH
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-284-1111
Mailing Address - Street 1:227 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5819
Mailing Address - Country:US
Mailing Address - Phone:724-284-1111
Mailing Address - Fax:724-284-1101
Practice Address - Street 1:227 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5819
Practice Address - Country:US
Practice Address - Phone:724-284-1111
Practice Address - Fax:724-284-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007346L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001559103OtherHIGHMARK NETWORK GROUP #
PA1011717020001Medicaid
PA1011717020001Medicaid
PAU74087Medicare UPIN