Provider Demographics
NPI:1114788270
Name:ZUPPE, AUSTIN CONNOR (DC)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:CONNOR
Last Name:ZUPPE
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 1:1023 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-9559
Mailing Address - Country:US
Mailing Address - Phone:724-683-1079
Mailing Address - Fax:
Practice Address - Street 1:2253 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-4675
Practice Address - Country:US
Practice Address - Phone:724-203-0783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor