Provider Demographics
NPI:1447235825
Name:CHURMA, WILLIAM CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHRISTOPHER
Last Name:CHURMA
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 1:2137 MOSSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4218
Mailing Address - Country:US
Mailing Address - Phone:412-373-1310
Mailing Address - Fax:412-372-9266
Practice Address - Street 1:2137 MOSSIDE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4218
Practice Address - Country:US
Practice Address - Phone:412-373-1310
Practice Address - Fax:412-372-9266
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002491L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1004949Medicaid
PAT72778Medicare UPIN
PACH418389Medicare ID - Type Unspecified