Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC2751-L | PA |
NPI | 1689615742 |
---|---|
Provider Name | Dr. Duane S Marasco |
First Address | Washington, PA 15301-3335 |
Second Address | Washington, PA 15301-3335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 10/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001116628-0002 | (05) | PA |
101357 | UPMC/UPMC FOR LIFE/UPMC U (01) | PA |
1041893 | (05) | PA |
381191 | UNITED HEALTHCARE (01) | PA |
483607 | AETNA (01) | PA |
78678 | (05) | PA |
CH134658 | HIGHMARK BLUE CROSS/BS (01) | PA |
DM382047 | ASHN (01) | PA |
T28493 | (02) | PA |