| Healthy Valley Chiropractic Llc | |
|
403 S Allen St State College PA 16801-5252 | |
| (814) 771-0931 | |
| Not Available |
| Full Name | Healthy Valley Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 S Allen St, State College, Pennsylvania |
| Authorized Official Name and Position | James M Yonushonis (CHIROPRACTOR) |
| Authorized Official Contact | 8147710931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Valley Chiropractic Llc 403 S Allen St State College PA 16801-5252 Ph: () - | Healthy Valley Chiropractic Llc 403 S Allen St State College PA 16801-5252 Ph: (814) 771-0931 |
| NPI Number | 1295342228 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 11/11/2020 |
| Medicare PECOS PAC ID | 9436563632 |
|---|---|
| Medicare Enrollment ID | O20210129001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295342228 | NPI | - | NPPES |
| 1346855871 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James M Yonushonis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346855871 PECOS PAC ID: 1254745458 Enrollment ID: I20210129001537 |
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