Provider Demographics
NPI:1922116474
Name:SPEIGLE, JAMEY MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:JAMEY
Middle Name:MICHAEL
Last Name:SPEIGLE
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 1:20397 ROUTE 19
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6133
Mailing Address - Country:US
Mailing Address - Phone:724-742-1818
Mailing Address - Fax:724-742-1828
Practice Address - Street 1:20397 ROUTE 19
Practice Address - Street 2:SUITE 120
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6133
Practice Address - Country:US
Practice Address - Phone:724-742-1818
Practice Address - Fax:724-742-1828
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001729603OtherHIGHMARK
V05043Medicare UPIN
PA001729603OtherHIGHMARK