Provider Demographics
NPI:1538703673
Name:MEENAN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MEENAN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEENAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-818-5597
Mailing Address - Street 1:250 MOUNT LEBANON BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1248
Mailing Address - Country:US
Mailing Address - Phone:412-341-2505
Mailing Address - Fax:
Practice Address - Street 1:250 MOUNT LEBANON BLVD STE 307
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1248
Practice Address - Country:US
Practice Address - Phone:412-341-2505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty