Provider Demographics
NPI:1609413418
Name:FASCIAL AND JOINT CARE INC
Entity Type:Organization
Organization Name:FASCIAL AND JOINT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CORLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-833-6323
Mailing Address - Street 1:1720 WASHINGTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1208
Mailing Address - Country:US
Mailing Address - Phone:412-833-6323
Mailing Address - Fax:412-833-6439
Practice Address - Street 1:1720 WASHINGTON RD STE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1208
Practice Address - Country:US
Practice Address - Phone:412-833-6323
Practice Address - Fax:412-833-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-30
Last Update Date:2019-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty