Provider Demographics
NPI:1942572243
Name:TAGGART CHIROPRACTIC AND WELLNESS LLC.
Entity Type:Organization
Organization Name:TAGGART CHIROPRACTIC AND WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:VIRGIL
Authorized Official - Last Name:TAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-715-7433
Mailing Address - Street 1:1309 PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:CHESWICK
Mailing Address - State:PA
Mailing Address - Zip Code:15024-1461
Mailing Address - Country:US
Mailing Address - Phone:724-715-7433
Mailing Address - Fax:724-715-7430
Practice Address - Street 1:1309 PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:CHESWICK
Practice Address - State:PA
Practice Address - Zip Code:15024-1461
Practice Address - Country:US
Practice Address - Phone:724-715-7433
Practice Address - Fax:724-715-7430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010145111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty