Provider Demographics
NPI:1679854921
Name:HORVATINCIC CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HORVATINCIC CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:HORVATINCIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-672-8101
Mailing Address - Street 1:1200 LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1644
Mailing Address - Country:US
Mailing Address - Phone:412-672-8101
Mailing Address - Fax:412-675-0358
Practice Address - Street 1:1200 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1644
Practice Address - Country:US
Practice Address - Phone:412-672-8101
Practice Address - Fax:412-675-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001636L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA339841OtherHIGHMARK
PA0767803Medicaid
PA111026Medicare PIN