Provider Demographics
NPI:1659308005
Name:ALLIANCE FAMILY CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:ALLIANCE FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRAMONTINA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:412-963-0655
Mailing Address - Street 1:1386 OLD FREEPORT RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3115
Mailing Address - Country:US
Mailing Address - Phone:412-963-0655
Mailing Address - Fax:
Practice Address - Street 1:1386 OLD FREEPORT RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3115
Practice Address - Country:US
Practice Address - Phone:412-963-0655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007689L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110891Medicare PIN