Provider Demographics
NPI:1497985402
Name:NEWMAN CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:NEWMAN CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-489-5812
Mailing Address - Street 1:2090 GREENTREE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1403
Mailing Address - Country:US
Mailing Address - Phone:412-489-5812
Mailing Address - Fax:412-489-6081
Practice Address - Street 1:2090 GREENTREE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1403
Practice Address - Country:US
Practice Address - Phone:412-489-5812
Practice Address - Fax:412-489-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011768162002Medicaid
PA1012696930001Medicaid
PA1021161150002Medicaid
PA0010513270001Medicaid
PA0019444200002Medicaid
PA1016947310002Medicaid
PA1022972530001Medicaid
PA0017708400001Medicaid
PA0017708400001Medicaid
PA85463Medicare PIN
PA1016947310002Medicaid
PA199468Medicare PIN
PAV03597Medicare UPIN
PA1021161150002Medicaid
PA0019444200002Medicaid
PA0010513270001Medicaid
PA148646Medicare PIN
PA91091Medicare PIN
PAT30142Medicare UPIN
PA1022972530001Medicaid
PA104947Medicare PIN
PA1011768162002Medicaid