Provider Demographics
NPI:1801004320
Name:MAGER CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:MAGER CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-341-3332
Mailing Address - Street 1:305 MOUNT LEBANON BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1511
Mailing Address - Country:US
Mailing Address - Phone:412-341-3332
Mailing Address - Fax:412-341-3370
Practice Address - Street 1:305 MOUNT LEBANON BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1511
Practice Address - Country:US
Practice Address - Phone:412-341-3332
Practice Address - Fax:412-341-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002183L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA731160OtherHIGHMARK GROUP NUMBER