Provider Demographics
NPI:1982868170
Name:SWEGMAN CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:SWEGMAN CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SWEGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC,
Authorized Official - Phone:412-366-2663
Mailing Address - Street 1:997 CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5950
Mailing Address - Country:US
Mailing Address - Phone:412-366-2663
Mailing Address - Fax:412-366-2663
Practice Address - Street 1:997 CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5950
Practice Address - Country:US
Practice Address - Phone:412-366-2663
Practice Address - Fax:412-366-2663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001152043Medicaid
PAUPIN29269Medicare UPIN