Provider Demographics
NPI:1952674020
Name:ANSELMENT, P.C.
Entity Type:Organization
Organization Name:ANSELMENT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSELMENT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-801-8622
Mailing Address - Street 1:655 CHURCH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-2789
Mailing Address - Country:US
Mailing Address - Phone:724-801-8622
Mailing Address - Fax:
Practice Address - Street 1:655 CHURCH ST STE 100
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-2789
Practice Address - Country:US
Practice Address - Phone:724-801-8622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-20
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010474111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty