Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC009392 | PA |
NPI | 1073711610 |
---|---|
Provider Name | Dr. Michael Jon Pagliacci |
First Address | Scottdale, PA 15683-1714 |
Second Address | Scottdale, PA 15683-1714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2007 |
Last Update Date | 15/01/2020 |