Provider Demographics
NPI:1730121062
Name:CIRIGLIANO, ALEC B (DC)
Entity Type:Individual
Prefix:
First Name:ALEC
Middle Name:B
Last Name:CIRIGLIANO
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 1:1170 WILDLIFE LODGE RD
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-3562
Mailing Address - Country:US
Mailing Address - Phone:724-339-0370
Mailing Address - Fax:724-339-0501
Practice Address - Street 1:1170 WILDLIFE LODGE RD
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3562
Practice Address - Country:US
Practice Address - Phone:724-339-0370
Practice Address - Fax:724-339-0501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007404L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1443710OtherHIGHMARK BCBS
PAU93823Medicare UPIN
PA066730Medicare ID - Type UnspecifiedMEDICARE