Provider Demographics
NPI:1700805991
Name:HEALTH FIRST CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HEALTH FIRST CHIROPRACTIC PC
Other - Org Name:DOMENIC FEBBRARO DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-387-2455
Mailing Address - Street 1:4091 WILLIAM FLYNN HWY
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3057
Mailing Address - Country:US
Mailing Address - Phone:412-492-4088
Mailing Address - Fax:412-492-4089
Practice Address - Street 1:4091 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3057
Practice Address - Country:US
Practice Address - Phone:412-492-4088
Practice Address - Fax:412-492-4089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC65000L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1820108OtherBCBS
PA1820108OtherBCBS