Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 13280 | FL |
Y | 111N00000X | Chiropractor | DC011675 | PA |
N | 111NR0400X | Rehabilitation Chiropractor | AJ011304 | PA |
NPI | 1356942940 |
---|---|
Provider Name | Dr. Michelle George |
First Address | Johnstown, PA 15904-7106 |
Second Address | Greensburg, PA 15601-4863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2020 |
Last Update Date | 21/09/2021 |