Provider Demographics
NPI:1154911725
Name:NESBIT FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:NESBIT FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:JOCELYN
Authorized Official - Last Name:NESBIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-664-7977
Mailing Address - Street 1:2024 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-5354
Mailing Address - Country:US
Mailing Address - Phone:724-654-2008
Mailing Address - Fax:
Practice Address - Street 1:2024 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-5354
Practice Address - Country:US
Practice Address - Phone:724-654-2008
Practice Address - Fax:724-652-5661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103623701001Medicaid