Provider Demographics
NPI:1912180076
Name:APEX CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:APEX CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MUSCARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-657-9005
Mailing Address - Street 1:130 ENCLAVE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105
Mailing Address - Country:US
Mailing Address - Phone:724-657-9005
Mailing Address - Fax:724-657-8068
Practice Address - Street 1:130 ENCLAVE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105
Practice Address - Country:US
Practice Address - Phone:724-657-9005
Practice Address - Fax:724-657-9005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007881L111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001997649OtherBCBS
PA1008716530001Medicaid
PA1997649OtherBLUE CROSS/BLUE SHIELD
124005Medicare PIN
PAU71467Medicare UPIN