Provider Demographics
NPI:1891482071
Name:MAP CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MAP CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PLATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-561-8834
Mailing Address - Street 1:1402 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-2663
Mailing Address - Country:US
Mailing Address - Phone:724-561-8834
Mailing Address - Fax:
Practice Address - Street 1:4969 TUSCARAWAS RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1003
Practice Address - Country:US
Practice Address - Phone:724-561-8834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty