Provider Demographics
NPI:1801051214
Name:ORVOSH, WESLEY W (DC)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:W
Last Name:ORVOSH
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 1:1390 ROUTE 286
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-1947
Mailing Address - Country:US
Mailing Address - Phone:724-325-2112
Mailing Address - Fax:724-325-2111
Practice Address - Street 1:1390 ROUTE 286
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-1947
Practice Address - Country:US
Practice Address - Phone:724-325-2112
Practice Address - Fax:724-325-2111
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor