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DICESARO SPINE & SPORT LLC NPI 1265630289


NPI Information

NPI: 1265630289
Provider Name: DICESARO SPINE & SPORT LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5990 UNIVERSITY BLVD STE 19
CORAOPOLIS, PA
ZIP 15108
Phone: (412) 299-3824
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DICESARO SPINE & SPORT LLC is a chiropractor in Coraopolis, PA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DICESARO SPINE & SPORT LLC NPI is 1265630289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5990 UNIVERSITY BLVD STE 19
CORAOPOLIS, PA
ZIP 15108-229
Phone: (412) 299-3824
Fax: (412) 299-3828

The provider's authorized official is Daniel T Dicesaro .
The authorized official title is President and has the following contact phone number (412) 299-3824.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 7/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorDC007018PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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