Provider Demographics
NPI:1073868295
Name:STROUSE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:STROUSE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:KRISTEN
Authorized Official - Last Name:STROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-566-4130
Mailing Address - Street 1:52 CASTLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1896
Mailing Address - Country:US
Mailing Address - Phone:412-566-4130
Mailing Address - Fax:
Practice Address - Street 1:8400 PERRY HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5235
Practice Address - Country:US
Practice Address - Phone:412-566-4130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-14
Last Update Date:2012-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty