Provider Demographics
NPI:1720551427
Name:MARCHEGIANI, ROSS (DC)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:
Last Name:MARCHEGIANI
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 1:1 WILLIAMSBURG APARTMENTS
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1731
Mailing Address - Country:US
Mailing Address - Phone:978-771-7826
Mailing Address - Fax:
Practice Address - Street 1:310 LAMBS GAP RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2522
Practice Address - Country:US
Practice Address - Phone:717-795-9566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011434111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty