1528187358 NPI number — MAJORIS CHIROPRACTIC CENTER

Table of content: (NPI 1528187358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528187358 NPI number — MAJORIS CHIROPRACTIC CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAJORIS CHIROPRACTIC CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528187358
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
357 REGIS AVE
Provider Second Line Business Mailing Address:
SUITE 4
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15236-1451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-650-8889
Provider Business Mailing Address Fax Number:
412-650-8881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
357 REGIS AVE
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15236-1451
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-650-8889
Provider Business Practice Location Address Fax Number:
412-650-8881
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MAJORIS
Authorized Official First Name:
NATHANIEL
Authorized Official Middle Name:
CHRISTOPHER
Authorized Official Title or Position:
CLINIC DIRECTOR
Authorized Official Telephone Number:
412-650-8889

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC008942 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2255A2300X , with the licence number: RT003877 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MA1424877 . This is a "HIGHMARK BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4438802 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 52964 . This is a "ELDER HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 411904 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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