Provider Demographics
NPI:1942685136
Name:WHOLE BODY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:WHOLE BODY CHIROPRACTIC, LLC
Other - Org Name:BARRETT WHOLE BODY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:412-653-4325
Mailing Address - Street 1:571 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-3809
Mailing Address - Country:US
Mailing Address - Phone:412-653-4325
Mailing Address - Fax:412-653-4324
Practice Address - Street 1:571 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILLS
Practice Address - State:PA
Practice Address - Zip Code:15236-3809
Practice Address - Country:US
Practice Address - Phone:412-653-4325
Practice Address - Fax:412-653-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty