Provider Demographics
NPI:1326071580
Name:CINTI CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:CINTI CHIROPRACTIC CENTER, INC.
Other - Org Name:PROADJUSTER CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CINTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-744-2211
Mailing Address - Street 1:1075 HARRISON CITY - EXPORT ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1153
Mailing Address - Country:US
Mailing Address - Phone:724-744-2211
Mailing Address - Fax:724-744-2210
Practice Address - Street 1:1075 HARRISON CITY - EXPORT ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-1153
Practice Address - Country:US
Practice Address - Phone:724-744-2211
Practice Address - Fax:724-744-2210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015992220001Medicaid
PA1420242OtherHIGHMARK
PA1015992220001Medicaid