Provider Demographics
NPI:1154323889
Name:WOHAR, STEPHEN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JOSEPH
Last Name:WOHAR
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 1:727 ROUTE 481
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-3420
Mailing Address - Country:US
Mailing Address - Phone:724-258-3371
Mailing Address - Fax:724-258-3374
Practice Address - Street 1:727 ROUTE 481
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-3420
Practice Address - Country:US
Practice Address - Phone:724-258-3371
Practice Address - Fax:724-258-3374
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004547L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251735395OtherTAX IDENTIFICATION #
PAWO465594OtherHIGHMARK BC/BS PROVIDER #
PA251735395OtherTAX IDENTIFICATION #
PAU41573Medicare UPIN