Provider Demographics
NPI:1457678047
Name:VERVE CHIROPRACTIC GROUP, PLLC
Entity Type:Organization
Organization Name:VERVE CHIROPRACTIC GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:FILCHECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:412-414-5158
Mailing Address - Street 1:204 BROWN BLVD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-9769
Mailing Address - Country:US
Mailing Address - Phone:412-414-5158
Mailing Address - Fax:
Practice Address - Street 1:24 DONEGAL AVE
Practice Address - Street 2:
Practice Address - City:CLAYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15323-1270
Practice Address - Country:US
Practice Address - Phone:412-414-5158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3932089261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU67288Medicare UPIN