Provider Demographics
NPI:1932294451
Name:FUHRMAN, NANCY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:MARIE
Last Name:FUHRMAN
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 1:28 DAVIS STREET
Mailing Address - Street 2:UNION SQUARE
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701
Mailing Address - Country:US
Mailing Address - Phone:814-362-7714
Mailing Address - Fax:814-362-7714
Practice Address - Street 1:28 DAVIS STREET
Practice Address - Street 2:UNION SQUARE
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701
Practice Address - Country:US
Practice Address - Phone:814-362-7714
Practice Address - Fax:814-362-7714
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC00230L111N00000X
WV318111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA55-0617451OtherFEDERAL ID
PA018083480002Medicaid
PA103061OtherUPMC
PAHIGHMARK BC/BSOther449131
PA449131Medicare ID - Type Unspecified
PA55-0617451OtherFEDERAL ID