Look up the most recent NPI and PECOS records

Douglas J Tepe

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Douglas J Tepe does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1861479958
Provider Type
Individual
Full Name
Tepe, Douglas J
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
12/29/2005
Last Updated
3/8/2017

Contact Information

Practice Location

3122 State St, Erie, PA 16508-2820

(814) 898-3300

(208) 441-8612

Mailing Location

211 Preston Ave, Erie, PA 16511

(814) 898-3300

(208) 441-8612

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License DC004815L Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 0012567450004	Description Medicaid	Issuer Unlisted Pennsylvania

Douglas J Tepe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Frank E. Del Sandro,D.C.

Coursen, Stephanie A.

Nutrition And Healing Center, Inc.

Cassara, John C

Lombardi, Giuseppe Palmerino

Manucci Chiropractic Center

Nash Chiropractic Healthcare

Maybee, Daniel Everett

Walker, Sherilee A

Murphy, Neil L