OrganizationManucci Chiropractic CenterChiropractorChiropractic ProvidersPractice Address2028 W 38th St, Erie, PA 16508-2020(814) 868-2663PECOS EnrollmentBased on the most recent information from CMS, provider Manucci Chiropractic Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:25 PM.Profile DetailsProvider ID1073788097Provider TypeOrganizationFull NameManucci Chiropractic CenterSubpartNoEnumeration Date4/30/2008Last Updated6/21/2018Contact InformationPractice LocationPractice Address2028 W 38th St, Erie, PA 16508-2020Phone(814) 868-2663Fax(814) 868-0044Mailing LocationMailing Address2028 W 38th St, Erie, PA 16508-2020Phone(814) 868-2663Fax(814) 868-0044Authorized OfficialNameManucci, Jeffrey J (Owner)Phone(814) 868-2663Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseDC005117LPennsylvaniaProvider IdentifiersIDDescriptionIssuerID182925DescriptionOtherIssuerBLUE SHIELDPennsylvaniaIDJM1033899DescriptionOtherIssuerASHNPennsylvaniaID001432216000DescriptionMedicaidIssuerUnlistedPennsylvaniaID335-715DescriptionOtherIssuerBLUE SHIELD GROUP NUMBERPennsylvania