Provider Demographics
NPI:1003370131
Name:JAMES HOWARD WINER ESTATE
Entity Type:Organization
Organization Name:JAMES HOWARD WINER ESTATE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREBOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-922-9355
Mailing Address - Street 1:2419 BALDWICK RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4139
Mailing Address - Country:US
Mailing Address - Phone:412-922-9355
Mailing Address - Fax:412-922-9330
Practice Address - Street 1:2419 BALDWICK RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-4139
Practice Address - Country:US
Practice Address - Phone:412-922-9355
Practice Address - Fax:412-922-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty