Provider Demographics
NPI:1376562561
Name:WOHAR CHIROPRACTIC
Entity Type:Organization
Organization Name:WOHAR CHIROPRACTIC
Other - Org Name:GREGORY WOHAR DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:E J
Authorized Official - Last Name:WOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-403-4542
Mailing Address - Street 1:PO BOX 102 12 B EVERGREEN ROAD
Mailing Address - Street 2:
Mailing Address - City:DAISYTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15427
Mailing Address - Country:US
Mailing Address - Phone:412-403-4542
Mailing Address - Fax:
Practice Address - Street 1:102 BROUGHTON ROAD
Practice Address - Street 2:WOHAR CHIROPRACTIC
Practice Address - City:BETHAL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102
Practice Address - Country:US
Practice Address - Phone:412-403-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004546L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1647738OtherBCBS
PA1647738OtherBCBS