Provider Demographics
NPI:1437554201
Name:YOUNG, GARRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:GARRETT
Middle Name:
Last Name:YOUNG
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 1:1305 GRANDVIEW AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-1205
Mailing Address - Country:US
Mailing Address - Phone:412-381-9977
Mailing Address - Fax:412-381-1215
Practice Address - Street 1:1305 GRANDVIEW AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-1205
Practice Address - Country:US
Practice Address - Phone:412-381-9977
Practice Address - Fax:412-381-1215
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor