Provider Demographics
NPI:1609857481
Name:PIROLLO, MICHAEL ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:PIROLLO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 MONROEVILLE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2436
Mailing Address - Country:US
Mailing Address - Phone:412-372-4192
Mailing Address - Fax:412-372-6158
Practice Address - Street 1:3940 MONROEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2436
Practice Address - Country:US
Practice Address - Phone:412-372-4192
Practice Address - Fax:412-372-6158
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009104111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3319270OtherAETNA PROVIDER ID
PA1533943OtherGATEWAY HEALTH PLAN ID
PA001968753001Medicaid
PA1523070OtherHIGHMARK PROVIDER ID
PA8806018OtherCIGNA HEALTH PLAN ID
PA146860Other3 RIVERS HEALTH PLAN ID
PA3319270OtherAETNA PROVIDER ID
PA1533943OtherGATEWAY HEALTH PLAN ID