Provider Demographics
NPI:1083886535
Name:MORREALE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:MORREALE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORREALE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-781-3150
Mailing Address - Street 1:874 BUTLER ST
Mailing Address - Street 2:STE 2
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15223-1340
Mailing Address - Country:US
Mailing Address - Phone:412-781-3150
Mailing Address - Fax:412-781-3156
Practice Address - Street 1:874 BUTLER ST
Practice Address - Street 2:STE 2
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15223-1340
Practice Address - Country:US
Practice Address - Phone:412-781-3150
Practice Address - Fax:412-781-3156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005720L111N00000X
PADC007863L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty