Provider Demographics
NPI:1861104275
Name:STEEL CITY SPINE AND SPORTS LLC
Entity type:Organization
Organization Name:STEEL CITY SPINE AND SPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DISANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-855-2408
Mailing Address - Street 1:PO BOX 16008
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15242-0008
Mailing Address - Country:US
Mailing Address - Phone:412-929-0254
Mailing Address - Fax:412-920-5861
Practice Address - Street 1:162 BRICKYARD RD STE 200
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-3067
Practice Address - Country:US
Practice Address - Phone:724-687-7463
Practice Address - Fax:724-687-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty