Provider Demographics
NPI:1437675816
Name:THE PITTSBURGH CHIROPRACTOR LLC
Entity Type:Organization
Organization Name:THE PITTSBURGH CHIROPRACTOR LLC
Other - Org Name:TAUBERG CHIROPRACTIC & REHABILITATION - THE PITTSBURGH CHIROPRACTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:HALE
Authorized Official - Last Name:TAUBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-805-0913
Mailing Address - Street 1:55 ALPHA DR W STE 6
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1419
Mailing Address - Country:US
Mailing Address - Phone:412-517-8124
Mailing Address - Fax:
Practice Address - Street 1:55 ALPHA DR W STE 6
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1419
Practice Address - Country:US
Practice Address - Phone:412-517-8124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty