Provider Demographics
NPI:1992860225
Name:EMCH, STEVEN R (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:EMCH
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 1:4001 W RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1717
Mailing Address - Country:US
Mailing Address - Phone:814-836-9979
Mailing Address - Fax:
Practice Address - Street 1:4001 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1717
Practice Address - Country:US
Practice Address - Phone:814-836-9979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA007697L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAEM261876OtherHIGHMARK
PAEM261876OtherHIGHMARK
PAU80076Medicare UPIN