Provider Demographics
NPI:1518040815
Name:CUTITTA, MICHAEL ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:CUTITTA
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 1:4733 BUTLER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2907
Mailing Address - Country:US
Mailing Address - Phone:412-325-4100
Mailing Address - Fax:412-325-4101
Practice Address - Street 1:4733 BUTLER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2907
Practice Address - Country:US
Practice Address - Phone:412-325-4100
Practice Address - Fax:412-325-4101
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012693990001Medicaid
PA1012693990001Medicaid
PAV04873Medicare UPIN