Fred J Mancuso in Carbondale - Chiropractor

Fred J Mancuso - NPI 1396806949

Fred J Mancuso is a Chiropractor in Carbondale, Pennsylvania. Fred J Mancuso practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Fred J Mancuso is 1396806949. The last update date is 2007-07-08.

Fred J Mancuso's current location address is 32 River Street, Carbondale, Pennsylvania. You can contact this provider via phone number 5702825533 and fax number 5702825533. The mailing address for Fred J Mancuso is 32 River Street, Carbondale, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Fred J Mancuso
Address 32 River Street, Carbondale, Pennsylvania
Phone Number 5702825533
Fax Number 5702825533
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1396806949
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 32 River Street
City Carbondale
State Pennsylvania (PA)
Post Code 18407
Phone Number 5702825533
Fax Number 5702825533

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC003680L
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4405440 PA AETNA
1060644 PA ASH

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FAQs about Fred J Mancuso

What is the unique 10-digit identification code assigned to Fred J Mancuso by the Centers for Medicare & Medicaid Services?

The Fred J Mancuso has been issued the NPI (National Provider Identifier) 1396806949, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Fred J Mancuso located?

The Fred J Mancuso is located at 32 River Street, Carbondale, PA 18407.

What is Fred J Mancuso's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Fred J Mancuso is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

When was the Fred J Mancuso's 1396806949 issued?

The Fred J Mancuso's 1396806949 was issued on 2006-12-13.

As of what date were the details pertaining to Fred J Mancuso last refreshed?

The information related to the Fred J Mancuso, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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