Provider Demographics
NPI:1093965717
Name:ACIERNO FAMILY CHIROPRACTIC AND REHABILITATION CENTER, PC
Entity Type:Organization
Organization Name:ACIERNO FAMILY CHIROPRACTIC AND REHABILITATION CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:ACIERNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-364-4660
Mailing Address - Street 1:665 WYNGOLD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4207
Mailing Address - Country:US
Mailing Address - Phone:412-364-4660
Mailing Address - Fax:412-486-8290
Practice Address - Street 1:722 W INGOMAR RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4366
Practice Address - Country:US
Practice Address - Phone:412-486-6060
Practice Address - Fax:412-486-8290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006819-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2065054OtherAETNA
PA000544627OtherHIGHMARK BC BS
PA2065054OtherAETNA
PA544627Medicare PIN