Provider Demographics
NPI:1487758090
Name:NEWMAN CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:NEWMAN CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:POGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-381-4422
Mailing Address - Street 1:1927 EAST CARSON STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203
Mailing Address - Country:US
Mailing Address - Phone:412-381-4422
Mailing Address - Fax:412-381-8503
Practice Address - Street 1:1927 EAST CARSON STREET
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203
Practice Address - Country:US
Practice Address - Phone:412-381-4422
Practice Address - Fax:412-381-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3284L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA905529Medicare ID - Type UnspecifiedGROUP NUMBER