Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | AJ010096 | PA |
Y | 111N00000X | Chiropractor | DC010297 | PA |
N | 111NP0017X | Pediatric Chiropractor | DC010297 | PA |
NPI | 1477861805 |
---|---|
Provider Name | Dr. Elizabeth Emily Smolick |
First Address | Mc Kees Rocks, PA 15136-1353 |
Second Address | Mc Kees Rocks, PA 15136-1353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2010 |
Last Update Date | 20/09/2010 |