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DR. DEAN A MUSCARELLA DC, PA-C

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1720050453

Individual Registrant:
DR. DEAN A MUSCARELLA DC, PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
701 GROVE RD  GREENVILLE, SC 29605-4210 US
Tel: 864-455-7157  Fax: --

Contact information for business:
300 E MCBEE AVE FL 4  GREENVILLE, SC 29601-2842 US
Tel: 864-522-8603  Fax: --

Registration Information:
NPI: 1720050453
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
Chiropractor
PADC007082L
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
PAMA056731
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SC2301

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD037763PA01
MEDICARESC06082SC01
2226PASC05
0017616080003PA05
UPMC311605PA01
ALL OTHER INSURANCE CO.251864370PA01




HEALTH CARE JOBS SC - Page 1



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