Provider Demographics
NPI:1699837161
Name:TSAI, JOSEPH B (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:B
Last Name:TSAI
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 1:4358 GIBSONIA RD
Mailing Address - Street 2:STE G
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9384
Mailing Address - Country:US
Mailing Address - Phone:724-444-1960
Mailing Address - Fax:724-444-1961
Practice Address - Street 1:4358 GIBSONIA RD
Practice Address - Street 2:STE G
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9384
Practice Address - Country:US
Practice Address - Phone:724-444-1960
Practice Address - Fax:724-444-1961
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006643L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PATS579283OtherBLUE SHIELD PROVIDER NO.
PATS579283OtherBLUE SHIELD PROVIDER NO.
PA027824Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER