Provider Demographics
NPI:1790935674
Name:DE NOVO PITTSBURGH CHIROPRACTIC & HEALTH
Entity Type:Organization
Organization Name:DE NOVO PITTSBURGH CHIROPRACTIC & HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CSCS
Authorized Official - Phone:412-482-2844
Mailing Address - Street 1:707 GRANT ST.
Mailing Address - Street 2:SUITE 2708
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-443-8873
Mailing Address - Fax:412-246-4811
Practice Address - Street 1:707 GRANT ST
Practice Address - Street 2:SUITE 2708
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1908
Practice Address - Country:US
Practice Address - Phone:412-443-8873
Practice Address - Fax:412-246-4811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty