Provider Demographics
NPI:1982682472
Name:RATHFON, ADAM C (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:C
Last Name:RATHFON
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 1:730 PARKWOOD DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6312
Mailing Address - Country:US
Mailing Address - Phone:724-779-4334
Mailing Address - Fax:724-779-4399
Practice Address - Street 1:730 PARKWOOD DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6312
Practice Address - Country:US
Practice Address - Phone:724-779-4334
Practice Address - Fax:724-779-4399
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARA1783356OtherHIGHMARK BLUE SHIELD
PA1014615150001Medicaid
PAV07688Medicare UPIN
PARA1783356OtherHIGHMARK BLUE SHIELD