Provider Demographics
NPI:1356564330
Name:MICHAEL FERRANCE CHIROPRACTIC
Entity type:Organization
Organization Name:MICHAEL FERRANCE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-672-3333
Mailing Address - Street 1:213 ROSE STREET
Mailing Address - Street 2:
Mailing Address - City:IRVONA
Mailing Address - State:PA
Mailing Address - Zip Code:16656
Mailing Address - Country:US
Mailing Address - Phone:814-672-3333
Mailing Address - Fax:814-672-3119
Practice Address - Street 1:213 ROSE STREET
Practice Address - Street 2:
Practice Address - City:IRVONA
Practice Address - State:PA
Practice Address - Zip Code:16656
Practice Address - Country:US
Practice Address - Phone:814-672-3333
Practice Address - Fax:814-672-3119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007727L111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001317378OtherBCBS
PA001798850Medicaid
PA350049240OtherRAILROAD MEDICARE