| Harchak Chiropractic Clinic Llc | |
|
1114 Walton St Philipsburg PA 16866-2748 | |
| (814) 342-3591 | |
| (814) 342-5815 |
| Full Name | Harchak Chiropractic Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1114 Walton St, Philipsburg, Pennsylvania |
| Authorized Official Name and Position | Susan I. Harchak (OWNER) |
| Authorized Official Contact | 8143423591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harchak Chiropractic Clinic Llc 1114 Walton St Philipsburg PA 16866-2748 Ph: (814) 342-3591 | Harchak Chiropractic Clinic Llc 1114 Walton St Philipsburg PA 16866-2748 Ph: (814) 342-3591 |
| NPI Number | 1609889237 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 12/05/2012 |
| Medicare PECOS PAC ID | 9537183595 |
|---|---|
| Medicare Enrollment ID | O20060118000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609889237 | NPI | - | NPPES |
| 0011294660001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC003451L (Pennsylvania) | Primary |
| Provider Name | Susan I Harchak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679539431 PECOS PAC ID: 1355365214 Enrollment ID: I20060118000436 |
| Provider Name | Mariah K Kasun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376092544 PECOS PAC ID: 8820377724 Enrollment ID: I20171002002440 |
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