Provider Demographics
NPI:1851615157
Name:EISEL CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:EISEL CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:EISEL
Authorized Official - Suffix:
Authorized Official - Credentials:BS, DC, CNS
Authorized Official - Phone:412-343-6310
Mailing Address - Street 1:4146 LIBRARY RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1350
Mailing Address - Country:US
Mailing Address - Phone:412-343-6310
Mailing Address - Fax:412-341-2613
Practice Address - Street 1:4146 LIBRARY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1350
Practice Address - Country:US
Practice Address - Phone:412-343-6310
Practice Address - Fax:412-341-2613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007980L111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA815732OtherGROUP PROVIDER NUMBER
PAV84753OtherUPIN