Excel Chiropractic And Rehabilitation Llc | |
4898 Campbells Run Rd # A, Pittsburgh, PA 15205-1338 | |
(412) 489-6036 | |
Not Available |
Full Name | Excel Chiropractic And Rehabilitation Llc |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 4898 Campbells Run Rd # A, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417435025 | NPI | - | NPPES |
DC010915 | Other | PA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | DC010915 (Pennsylvania) | Primary |
Provider Name | Joseph D Vanwagner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043628688 PECOS PAC ID: 6709006208 Enrollment ID: I20141006000763 |
Mailing Address | Practice Location Address |
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Excel Chiropractic And Rehabilitation Llc 4898 Campbells Run Rd # A, Pittsburgh, PA 15205-1338 Ph: () - | Excel Chiropractic And Rehabilitation Llc 4898 Campbells Run Rd # A, Pittsburgh, PA 15205-1338 Ph: (412) 489-6036 |
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