Provider Demographics
NPI:1023072535
Name:FERRIGNO, ANTHONY STEPHEN (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:STEPHEN
Last Name:FERRIGNO
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 1:322 GLADE RUN RD
Mailing Address - Street 2:
Mailing Address - City:EVANS CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16033-7720
Mailing Address - Country:US
Mailing Address - Phone:724-586-2062
Mailing Address - Fax:
Practice Address - Street 1:7805 MCKNIGHT RD
Practice Address - Street 2:SUITE 103
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3521
Practice Address - Country:US
Practice Address - Phone:412-369-8187
Practice Address - Fax:412-369-8141
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004503L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA033741Medicare ID - Type Unspecified