Provider Demographics
NPI:1831271204
Name:BISCEGLIA, LINDA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:BISCEGLIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063
Mailing Address - Country:US
Mailing Address - Phone:724-258-3555
Mailing Address - Fax:724-258-4709
Practice Address - Street 1:1230 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063
Practice Address - Country:US
Practice Address - Phone:724-258-3555
Practice Address - Fax:724-258-4709
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006167L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA633293OtherBCBS
PA201976OtherUPMC
PA893870Medicare ID - Type Unspecified