Provider Demographics
NPI:1205085735
Name:MANION, WILLIAM KERNS (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KERNS
Last Name:MANION
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 1:2165 NOBLESTOWN ROAD
Mailing Address - Street 2:WILLIAM K. MANION
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-3937
Mailing Address - Country:US
Mailing Address - Phone:412-922-2010
Mailing Address - Fax:412-922-5652
Practice Address - Street 1:2165 NOBLESTOWN ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-3937
Practice Address - Country:US
Practice Address - Phone:412-922-2010
Practice Address - Fax:412-922-5652
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007968L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA1344512OtherHIGHMARK