| Ewer Specific Chiropractic | |
|
298 Old Route 30, Greensburg, PA 15601-6992 | |
| (724) 836-5520 | |
| (724) 836-5565 |
| Full Name | Ewer Specific Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 298 Old Route 30, Greensburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790711307 | NPI | - | NPPES |
| 1326549 | Other | PA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC007435L (Pennsylvania) | Primary |
| Provider Name | Jonathan E Ewer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144299942 PECOS PAC ID: 0941267538 Enrollment ID: I20041215000510 |
| Provider Name | Mario Dominick Siard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457840605 PECOS PAC ID: 0840545919 Enrollment ID: I20180613000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Ewer Specific Chiropractic 298 Old Route 30, Greensburg, PA 15601-6992 Ph: (724) 836-5520 | Ewer Specific Chiropractic 298 Old Route 30, Greensburg, PA 15601-6992 Ph: (724) 836-5520 |
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