1730206947 NPI number — SQUIRREL HILL CHIROPRACTIC CARE, INC.

Table of content: (NPI 1730206947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730206947 NPI number — SQUIRREL HILL CHIROPRACTIC CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SQUIRREL HILL CHIROPRACTIC CARE, INC.
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:
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:
1730206947
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2728 MURRAY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15217-2420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-521-4455
Provider Business Mailing Address Fax Number:
412-521-4897

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2728 MURRAY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15217-2420
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-521-4455
Provider Business Practice Location Address Fax Number:
412-521-4897
Provider Enumeration Date:
03/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCCONNELL
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
GORMAN
Authorized Official Title or Position:
OFFICE MANAGER CHIROPRACTOR
Authorized Official Telephone Number:
412-521-4455

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1407876089 . This is a "J MCCONNELL NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1477573053 . This is a "K MCCONNELL NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000757961 . This is a "HIGHMARK K AND J" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 102879 . This is a "J MCCONNELL UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 101736 . This is a "K MCCONNELL UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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