Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC008804 | PA |
NPI | 1003846437 |
---|---|
Provider Name | Dr. Matthew Savona |
First Address | Dublin, PA 18917-2107 |
Second Address | Dublin, PA 18917-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 20/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001660754 | HIGHMARK PROVIDER NUMBER (01) | PA |
2341923000 | IBC GROUP NUMBER (01) | PA |
2341923000 | KEYSTONE HPE GROUP NUMBER (01) | PA |
3795620 | AETNA PROVIDER NUMBER (01) | PA |
U91104 | (02) |