Provider Demographics
NPI:1689087546
Name:FAMILY CHIROPRACTIC CENTER OF PITTSBURGH, LLC
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER OF PITTSBURGH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARTUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-787-3320
Mailing Address - Street 1:5168 CAMPBELLS RUN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9761
Mailing Address - Country:US
Mailing Address - Phone:412-787-3320
Mailing Address - Fax:
Practice Address - Street 1:5168 CAMPBELLS RUN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9761
Practice Address - Country:US
Practice Address - Phone:412-787-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty