Smooke Chiropractic Clinic Inc | |
828 Hazelwood Avenue, Pittsburgh, PA 15217 | |
(412) 422-4321 | |
(412) 422-2896 |
Full Name | Smooke Chiropractic Clinic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 828 Hazelwood Avenue, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295766004 | NPI | - | NPPES |
8460650 | Other | PA | CIGNA |
1209146 | Medicaid | PA | |
1042090 | Medicaid | PA | |
4353872 | Other | PA | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC004209L (Pennsylvania) | Primary |
Provider Name | Joel E Smooke |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952426751 PECOS PAC ID: 1052607801 Enrollment ID: I20160906000674 |
Mailing Address | Practice Location Address |
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Smooke Chiropractic Clinic Inc 828 Hazelwood Avenue, Pittsburgh, PA 15217 Ph: (412) 422-4321 | Smooke Chiropractic Clinic Inc 828 Hazelwood Avenue, Pittsburgh, PA 15217 Ph: (412) 422-4321 |
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