Provider Demographics
NPI:1699377663
Name:COMPLETE CHIROPRACTIC HEALTH OF ALLISON PARK PC
Entity Type:Organization
Organization Name:COMPLETE CHIROPRACTIC HEALTH OF ALLISON PARK PC
Other - Org Name:COMPLETE CHIROPRACTIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-681-1982
Mailing Address - Street 1:4655 WILLIAM FLYNN HWY
Mailing Address - Street 2:SUITE 125A
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2488
Mailing Address - Country:US
Mailing Address - Phone:412-684-1982
Mailing Address - Fax:724-779-0003
Practice Address - Street 1:4655 WILLIAM FLYNN HWY
Practice Address - Street 2:SUITE 125A
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2488
Practice Address - Country:US
Practice Address - Phone:724-779-0001
Practice Address - Fax:724-779-0003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty