Provider Demographics
NPI:1952501843
Name:FOREST HILLS CHIROPRACTIC CENTER P C
Entity Type:Organization
Organization Name:FOREST HILLS CHIROPRACTIC CENTER P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:PALAMONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-646-4344
Mailing Address - Street 1:150 FOREST HILLS PLZ
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5211
Mailing Address - Country:US
Mailing Address - Phone:412-646-4344
Mailing Address - Fax:412-646-4316
Practice Address - Street 1:150 FOREST HILLS PLZ
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-5211
Practice Address - Country:US
Practice Address - Phone:412-646-4344
Practice Address - Fax:412-646-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005310L111N00000X
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6307520001Medicare NSC