ADVANCED CHIROPRACTIC OF DUBOIS (NPI# 1922334077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922334077 |
| Entity Type | Organization |
| Organization Name | ADVANCED CHIROPRACTIC OF DUBOIS |
| Practice Address |
1116 Maple Ave Du Bois PA 15801-2904 |
| Practice Telephone | 8173717211 |
| Practice Fax Number | 8143717238 |
| Mailing Telephone | 8173717211 |
| Mailing Fax Number | 8143717238 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Authorized Official Name | DR. JENNIFER MCGOWAN PETERS (CO-OWNER/ CHIROPRACTOR) |
| Authorized Official Telephone | 8173717211 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC008741 | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC008784 | PA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639366388 | Advanced Chiropractic of Dubois | Chiropractor | 77 Beaver Dr, Du Bois, PA 15801-2425 | 2007-09-26 |
| Street Address |
1116 MAPLE AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083951446 | William Bradley Hoover Jr. | Chiropractor | 9 Beaver Dr Ste B, Du Bois, PA 15801-2401 | 2013-01-05 |
| 1093880007 | John E. Dubois IIi | Chiropractor | 9 Beaver Dr, Du Bois, PA 15801-2401 | 2006-11-22 |
| 1184794026 | David Thomas Gruda | Chiropractor | 914 Beaver Dr, Du Bois, PA 15801-2514 | 2006-11-08 |
| 1063517019 | Aaron Michael Peters | Chiropractor | 77 Beaver Dr, Du Bois, PA 15801-2425 | 2006-09-14 |
| 1578541504 | James Alan Laborde | Chiropractor | 3630 Watson Hwy, Du Bois, PA 15801-5480 | 2006-01-09 |
| 1548256340 | Michael J Pyne | Chiropractor | 200 Mccracken Run Rd, Du Bois, PA 15801-3634 | 2005-09-27 |
| 1043758477 | Palmer Casteel | Chiropractor | 110 N Main St, Du Bois, PA 15801-1811 | 2017-02-06 |
| 1649594672 | Gibson Upper Cervical Chiropractic, LLC | Chiropractor | 23 Beaver Dr, Du Bois, PA 15801-2443 | 2010-03-19 |
| 1366764607 | Andrew Nathan Gibson | Chiropractor | 23 Beaver Dr, Du Bois, PA 15801-2443 | 2010-02-26 |
| 1639366388 | Advanced Chiropractic of Dubois | Chiropractor | 77 Beaver Dr, Du Bois, PA 15801-2425 | 2007-09-26 |
| Find all providers in DU BOIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.