National Provider Identifier Database

FRED J MANCUSO JR, DC – NPI #1396806949
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

FRED J MANCUSO JR, DC
32 RIVER STREET
CARBONDALE, PA18407
Phone: 570-282-5533
Fax: 570-282-5533
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for FRED J MANCUSO JR

NPI Number 1396806949
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • PA License #: DC003680L
  • PA Other: 4405440 AETNA
  • PA Other: 1060644 ASH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FRED J MANCUSO JR, DC

There are currently no reviews for FRED J MANCUSO JR, DC


NPIdb - Home
v2.201