Provider Demographics
NPI:1710118336
Name:CHRISTOPHER S CARR DC PC
Entity Type:Organization
Organization Name:CHRISTOPHER S CARR DC PC
Other - Org Name:PITTSBURGH CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-969-4000
Mailing Address - Street 1:3055 WASHINGTON RD
Mailing Address - Street 2:AMICI PLACE STE 304
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3279
Mailing Address - Country:US
Mailing Address - Phone:724-969-4000
Mailing Address - Fax:724-969-4100
Practice Address - Street 1:3055 WASHINGTON RD
Practice Address - Street 2:AMICI PLACE STE 304
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3279
Practice Address - Country:US
Practice Address - Phone:724-969-4000
Practice Address - Fax:724-969-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015350290001Medicaid
PAV08982Medicare UPIN
PA100324Medicare PIN