Provider Demographics
NPI:1376642462
Name:ROSS TOWNSHIP CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ROSS TOWNSHIP CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MATIJASIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-821-2600
Mailing Address - Street 1:2199 BABCOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209
Mailing Address - Country:US
Mailing Address - Phone:412-821-2600
Mailing Address - Fax:412-821-2627
Practice Address - Street 1:2199 BABCOCK BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15209
Practice Address - Country:US
Practice Address - Phone:412-821-2600
Practice Address - Fax:412-821-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003152L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty