Provider Demographics
NPI:1073594842
Name:BAGINSKI, CHAD ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ERIC
Last Name:BAGINSKI
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 1:355 5TH AVE
Mailing Address - Street 2:SUITE 1325
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2409
Mailing Address - Country:US
Mailing Address - Phone:412-325-1585
Mailing Address - Fax:412-325-1244
Practice Address - Street 1:355 5TH AVE
Practice Address - Street 2:SUITE 1325
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2409
Practice Address - Country:US
Practice Address - Phone:412-325-1585
Practice Address - Fax:412-325-1244
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007722L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6744334-003OtherCIGNA PROVIDER #
PA212886OtherUPMC HEALTH PLAN ID#
PA2905792OtherAETNA PROVIDER #
PA139857OtherTHREE RIVER'S HEALTH ID#
PA1520307OtherGATEWAY HEALTH PLAN PROV#
PA0018512690002Medicaid
PA1027845OtherHEALTH AMERICA PROVIDER #
PA797345OtherHIGHMARK PROVIDER #
PA0018512690002Medicaid
PA1027845OtherHEALTH AMERICA PROVIDER #