Provider Demographics
NPI:1437836715
Name:BENTZ CHIRO LLC
Entity Type:Organization
Organization Name:BENTZ CHIRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:412-366-2058
Mailing Address - Street 1:511 COLONY CT
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-6017
Mailing Address - Country:US
Mailing Address - Phone:412-855-7779
Mailing Address - Fax:
Practice Address - Street 1:1005 PERRY HWY STE 1
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2108
Practice Address - Country:US
Practice Address - Phone:412-366-6404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty