Provider Demographics
NPI:1679579130
Name:MARTINI, MICHAEL A (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:MARTINI
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 1:333 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-4005
Mailing Address - Country:US
Mailing Address - Phone:412-512-7559
Mailing Address - Fax:412-881-3409
Practice Address - Street 1:300 WEYMAN RD
Practice Address - Street 2:STE 270
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1591
Practice Address - Country:US
Practice Address - Phone:412-881-7060
Practice Address - Fax:412-881-3409
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1676222OtherHIGHMARK/BLUE'S
PA87625Medicare ID - Type UnspecifiedCHIROPRACTOR
PA1676222OtherHIGHMARK/BLUE'S