Provider Demographics
NPI:1083064729
Name:COMPLETE FAMILY CHIROPRACTIC AND WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:COMPLETE FAMILY CHIROPRACTIC AND WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-489-5812
Mailing Address - Street 1:2090 GREENTREE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1468
Mailing Address - Country:US
Mailing Address - Phone:412-489-5812
Mailing Address - Fax:412-489-6081
Practice Address - Street 1:2090 GREENTREE RD
Practice Address - Street 2:STE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1468
Practice Address - Country:US
Practice Address - Phone:412-489-5812
Practice Address - Fax:412-489-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007529L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty