Provider Demographics
NPI:1598299182
Name:KEIM CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:KEIM CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-372-7500
Mailing Address - Street 1:339 OLD HAYMAKER RD
Mailing Address - Street 2:SUITE 1900
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1435
Mailing Address - Country:US
Mailing Address - Phone:412-372-7500
Mailing Address - Fax:412-372-7531
Practice Address - Street 1:339 OLD HAYMAKER RD
Practice Address - Street 2:SUITE 1900
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1435
Practice Address - Country:US
Practice Address - Phone:412-372-7500
Practice Address - Fax:412-372-7531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006382-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU59292Medicare UPIN