Provider Demographics
NPI:1477606192
Name:CHIROPRACTIC ADVANTAGE CENTER
Entity Type:Organization
Organization Name:CHIROPRACTIC ADVANTAGE CENTER
Other - Org Name:NEWMAN CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SKERBERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-722-1595
Mailing Address - Street 1:6000 STEUBENVILLE PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1353
Mailing Address - Country:US
Mailing Address - Phone:412-722-1595
Mailing Address - Fax:412-722-1597
Practice Address - Street 1:6000 STEUBENVILLE PIKE
Practice Address - Street 2:SUITE 102
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1353
Practice Address - Country:US
Practice Address - Phone:412-722-1595
Practice Address - Fax:412-722-1597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007547L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018213120002Medicaid
PAU77570Medicare UPIN
PA0018213120002Medicaid