Provider Demographics
NPI:1316955610
Name:BEDILLION, NORMAN PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:PAUL
Last Name:BEDILLION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 W MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-2847
Mailing Address - Country:US
Mailing Address - Phone:724-258-3555
Mailing Address - Fax:724-258-4709
Practice Address - Street 1:1115 W MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2847
Practice Address - Country:US
Practice Address - Phone:724-258-3555
Practice Address - Fax:724-258-4709
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor