Provider Demographics
NPI:1851454185
Name:SKERBETZ, EDWARD ROBERT (DC)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:ROBERT
Last Name:SKERBETZ
Suffix:
Gender:M
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:6000 STEUBENVILLE PIKE SUITE 102
Mailing Address - Street 2:CHIROPRACTIC ADVANTAGE CTR NEWMAN CHIROPRACTIC
Mailing Address - City:MCKEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136
Mailing Address - Country:US
Mailing Address - Phone:412-722-1595
Mailing Address - Fax:412-722-1597
Practice Address - Street 1:6000 STEUBENVILLE PIKE SUITE 102
Practice Address - Street 2:CHIROPRACTIC ADVANTAGE CTR NEWMAN CHIROPRACTIC
Practice Address - City:MCKEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136
Practice Address - Country:US
Practice Address - Phone:412-722-1595
Practice Address - Fax:412-722-1597
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADC007547L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018213120002Medicaid
U77570Medicare UPIN
PA0327775BRMedicare ID - Type Unspecified