| |
357 Regis Ave, Suite 4, Pittsburgh, PA 15236-1451 | |
(412) 650-8889 | |
(412) 650-8881 |
Full Name | |
---|---|
Type | Facility |
Speciality | Specialist/technologist - Athletic Trainer |
Location | 357 Regis Ave, Pittsburgh, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528187358 | NPI | - | NPPES |
MA1424877 | Other | PA | HIGHMARK BCBS |
4438802 | Other | PA | CIGNA |
52964 | Other | PA | ELDER HEALTH |
411904 | Other | PA | HEALTH AMERICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC008942 (Pennsylvania) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | RT003877 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
357 Regis Ave, Suite 4, Pittsburgh, PA 15236-1451 Ph: (412) 650-8889 | 357 Regis Ave, Suite 4, Pittsburgh, PA 15236-1451 Ph: (412) 650-8889 |