Provider Demographics
NPI:1609052224
Name:ALLEGHENY ADVANCED CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALLEGHENY ADVANCED CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:PARTYKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-942-7660
Mailing Address - Street 1:4198 WASHINGTON RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2560
Mailing Address - Country:US
Mailing Address - Phone:724-942-7660
Mailing Address - Fax:724-942-7664
Practice Address - Street 1:4198 WASHINGTON RD
Practice Address - Street 2:SUITE 6
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2560
Practice Address - Country:US
Practice Address - Phone:724-942-7660
Practice Address - Fax:724-942-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV00922Medicare UPIN
098657Medicare PIN