Provider Demographics
NPI:1295733442
Name:GIGLIOTTI, DAVID V (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:GIGLIOTTI
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 1:217 W MAHONING ST
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-1918
Mailing Address - Country:US
Mailing Address - Phone:814-938-7851
Mailing Address - Fax:814-938-7852
Practice Address - Street 1:217 W MAHONING ST
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-1918
Practice Address - Country:US
Practice Address - Phone:814-938-7851
Practice Address - Fax:814-938-7852
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-12
Last Update Date:2007-07-09
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-21
Provider Licenses
StateLicense IDTaxonomies
PADC 007002-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016642100003Medicaid
PA349112OtherHIGHMARK
PA214463OtherUPMC HEALTH PLAN
PA0016642100003Medicaid
PA214463OtherUPMC HEALTH PLAN