Provider Demographics
NPI:1043750698
Name:TAUBERG, ALEX HALE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:HALE
Last Name:TAUBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 WOODVALLEY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2135
Mailing Address - Country:US
Mailing Address - Phone:412-805-1558
Mailing Address - Fax:
Practice Address - Street 1:55 ALPHA DR W STE 6
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1419
Practice Address - Country:US
Practice Address - Phone:412-517-8124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011258111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor