Provider Demographics
NPI:1972672285
Name:MISKUS, MARCIE KATHRYN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCIE
Middle Name:KATHRYN
Last Name:MISKUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 WASHINGTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3065
Mailing Address - Country:US
Mailing Address - Phone:724-942-4444
Mailing Address - Fax:
Practice Address - Street 1:3380 WASHINGTON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3065
Practice Address - Country:US
Practice Address - Phone:724-942-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor