| New Edge Spine & Sport | |
|
321 Regis Ave Ste 1, Pittsburgh, PA 15236-1453 | |
| (412) 737-6960 | |
| Not Available |
| Full Name | New Edge Spine & Sport |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 321 Regis Ave Ste 1, 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 |
|---|---|---|---|
| 1164997243 | NPI | - | NPPES |
| 1031051520001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Benjamin C Hosler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770949943 PECOS PAC ID: 2163725284 Enrollment ID: I20160125001105 |
| Mailing Address | Practice Location Address |
|---|---|
| New Edge Spine & Sport 321 Regis Ave Ste 1, Pittsburgh, PA 15236-1453 Ph: (412) 386-8285 | New Edge Spine & Sport 321 Regis Ave Ste 1, Pittsburgh, PA 15236-1453 Ph: (412) 737-6960 |
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