Provider Demographics
NPI:1528574357
Name:DOUGLAS J BITTEL D.C., LLC
Entity Type:Organization
Organization Name:DOUGLAS J BITTEL D.C., LLC
Other - Org Name:DOUGLAS J BITTEL SOLE MBR
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BITTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-469-9600
Mailing Address - Street 1:305 CAMP HOLLOW RD BLDG B
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2604
Mailing Address - Country:US
Mailing Address - Phone:412-469-9600
Mailing Address - Fax:412-469-9901
Practice Address - Street 1:305 CAMP HOLLOW RD BLDG B
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2604
Practice Address - Country:US
Practice Address - Phone:412-469-9600
Practice Address - Fax:412-469-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-15
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty