Pangonis, Michael Charles

Pangonis, Michael Charles is an sole proprietor health care provider with primary practice located at 300 Fountain Ave , Ellwood City PA 16117-2183. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pangonis, Michael Charles can be contacted via phone (724) 758-5733.

Contact Information

Primary practice address
300 Fountain Ave Ellwood City PA 16117-2183
Fax: (724) 758-7617
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007733L Pennsylvania
Chiropractic Providers / Chiropractor 111N00000X AJ007733L Pennsylvania

Profile Details

NPI number 1992896211
LBN Legal business name Pangonis, Michael Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Mar 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992896211 NPPES
Pennsylvania Other PA826363 BLUE CROSS/BLUE SHIELD
Pennsylvania Other 114030 BLUE CROSS/BLUE SHIELD

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