Provider Demographics
NPI:1760655419
Name:COMPLETE HEALTH CHIROMED
Entity Type:Organization
Organization Name:COMPLETE HEALTH CHIROMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEDLAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-929-3102
Mailing Address - Street 1:300 CONCORD LN
Mailing Address - Street 2:4313 ROUTE 51
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-3504
Mailing Address - Country:US
Mailing Address - Phone:724-929-3102
Mailing Address - Fax:724-929-3994
Practice Address - Street 1:300 CONCORD LN
Practice Address - Street 2:4313 ROUTE 51
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-3504
Practice Address - Country:US
Practice Address - Phone:724-929-3102
Practice Address - Fax:724-929-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002768L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA867364OtherHIGHMARK
PA867364OtherHIGHMARK