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Contact Information

MARIO A. GRIPPA
373 VIRGINIA AVENUE
ROCHESTER, PA15074
 Phone: 724-775-1002
 Fax: 724-775-2527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARIO A. GRIPPA

NPI Number 1629137559
LBN Legal business name MARIO A. GRIPPA
Authorized official MARIO GRIPPA - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA License # DC004847L
PA Medicaid 0012780270002
Other 664633 UNITED HEALTHCARE
PA Other 3087535 AETMA HMO
PA Other 5356108 AETNA PPO
PA Other 9983002 CIGNA
PA Other 1010014 GATEWAY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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