Provider Demographics
NPI:1538215322
Name:MARLAR, PATRICIA GAIL (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:GAIL
Last Name:MARLAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:GAIL
Other - Last Name:EISEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1031 SANDA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-3925
Mailing Address - Country:US
Mailing Address - Phone:412-779-0626
Mailing Address - Fax:412-341-2613
Practice Address - Street 1:4146 LIBRARY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1350
Practice Address - Country:US
Practice Address - Phone:412-343-6310
Practice Address - Fax:412-341-2613
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007980L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA815732OtherHM BCBS
5665707001OtherCIGNA
PADC-007980-LOtherSTATE LICENSE
1851615157OtherGROUP NATIONAL ID
5665707001OtherCIGNA