Provider Demographics
NPI:1831290501
Name:MCNEAL FAMILY CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:MCNEAL FAMILY CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:814-472-9691
Mailing Address - Street 1:815 ROWENA DR
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-2074
Mailing Address - Country:US
Mailing Address - Phone:814-472-9691
Mailing Address - Fax:814-472-9581
Practice Address - Street 1:815 ROWENA DR
Practice Address - Street 2:
Practice Address - City:EBENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15931-2074
Practice Address - Country:US
Practice Address - Phone:814-472-9691
Practice Address - Fax:814-472-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004713L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA206715OtherUPMC HEALTH PLANS
PA87487OtherUNISON HEALTH PLAN
PA94244/01OtherCHIROPRACTIC NETWORK
PA0001286780002Medicaid
PA0001286780002Medicaid
PA94244/01OtherCHIROPRACTIC NETWORK
PAMC003312Medicare ID - Type Unspecified